A tender point
is considered positive if there is a report of pain on palpation of that site, not just a response of tenderness or a comment such as "it's not too bad" (Sherman, 1992).
For example, many people with CFS have the tender points
and symptoms considered to be diagnostic of fibromyalgia.
Additionally, they reported that the decreased muscle performance in FMS patients was not related with the clinical findings, including pain severity, number of tender points
, and duration of the symptoms.
The present study investigated PPT in a number of different sites to determine pain expected areas and pain-free control areas, such as tender points
in upper sites of the body.
The tender point
test also has a gender bias because men may report widespread pain, but they generally aren't as tender as women.
Ice packs or heat treatments -- including hot packs and showers -- may give some short-term relief, and sometimes pain-relieving drugs are injected directly into the tender points
9 Tender point
count 16 14-18 Total myalgia score 34.
A controlled study of manual palpation was conducted to standardize the tender point
survey described in the Figure.
It has been reported that female FMS patients have significantly more intense pain, higher tender point
counts, and a greater incidence of depression relative to male FMS patients.
Women are 10 times more likely to have achy and tender points
, so the higher incidence of fibromyalgia among them may be attributable to a selection bias created by the tender point
criteria, he continued.
Significant improvements over placebo were also seen in the FIQ total, pain, fatigue, and restfulness upon awakening scores; in the mean tender point
threshold and number of tender points
; in the Clinical Global Impression (CGI) and Patient Global Impression of Improvement (PGI) scores; in other BPI subscale measures of pain severity and interference; and in several quality of life and functional measures.