This image shows the 18 classic ‘tender points’ of fibromyalgia. There is an overlap with Chronic Fatigue Syndrome, and the management is similar. There are no diagnostic tests for fibromyalgia, which relies on excluding any other disease through careful history taking, examination and a screen of diagnostic tests.
The management has to be holistic, with advice, education and input from a variety of clinicians and complementary therapists. Drug therapy is only a small part of the overall management of fibromyalgia.