The diagnosis for juvenile primary fibromyalgia is based upon all 4 major criteria plus 3 of the 10 minor criteria |
Major criteria |
1. Generalized musculoskeletal aching at ≥3 sites for at least 3 months |
2. Absence of an underlying condition or cause (eg, arthritis or trauma) |
3. Normal test results |
4. Five tender points |
Minor criteria |
1. Chronic anxiety or tension |
2. Fatigue |
3. Poor sleep |
4. Chronic headaches |
5. Irritable bowel syndrome |
6. Subjective soft tissue swelling |
7. Numbness |
8. Pain modulation of physical activity |
9. Pain modulation by weather factors |
10. Pain modulation by anxiety and/or stress |