1. Widespread pain assessment:
This involves determining the presence of pain throughout the body, typically in all four quadrants, for a minimum duration of three months.
2. Fatigue evaluation:
Assessing the severity and impact of fatigue on daily activities, as it is a common symptom experienced by individuals with fibromyalgia.
3. Sleep disturbances analysis:
Understanding the quality of sleep, including insomnia, restless legs syndrome, and waking up feeling unrefreshed.
4. Cognitive function assessment:
Evaluating cognitive symptoms such as memory problems, concentration difficulties, and "fibro fog."
5. Tender points examination:
Checking for the presence of tender points or areas of localized tenderness, as defined by the American College of Rheumatology.
6. Emotional well-being evaluation:
Assessing the patient's mental health, including symptoms of anxiety and depression, which commonly coexist with fibromyalgia.
7. Review of additional symptoms:
Considering other associated symptoms like headaches, irritable bowel syndrome, bladder issues, and sensitivity to noise, light, or temperature changes.
8. Medical history review:
Gather information about previous diagnoses, medications, treatments, and any relevant family medical history.
9. Rule out other conditions:
Conduct necessary tests and examinations to exclude other potential conditions that may mimic or overlap with fibromyalgia.
10. Collaborative approach for treatment planning:
Working together with the patient to develop a tailored treatment plan that includes both pharmacological and non-pharmacological approaches.