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Fibromyalgia 18 tender points
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FM also known as muscular rheumatism is characterized by acute pain in the muscle and the connective tissue (tendons and ligaments). Tender points or soft spots are the areas of a FM patient's body, which are sensitive to touch. While trying to diagnose and eliminate the presence of other symptomatically similar disorders and determine that the patient is suffering from FM it is procedural for the doctor to spot at least 11 out of the 18 known tender points common to FM sufferers. Though this is not mandatory since the pain or sensitivity in the spots can be there for a few days and not be present later, but this is one of the yardsticks for determining whether the case at hand is an FM one or not. The tender points occur on both sides of the body and the spots are:

1. Low frontal base of the neck region.
2. Low frontal part of the chest near about the 2nd rib near the breast bone (sternum).
3.Back of the neck next to the spinal column.
4. Back of the shoulders
5. Just above the shoulder blade area
6. Elbow area a little into the forearm.
7. Upper part of the buttocks
8. Hip region.
9. Knees.
 
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