Whats It Like?
Quiet Too Long
MWF Forum
Chat Room
Sexual Issues
Just for Fun
MWF Award

 The Muscles

Click the red light to send email! Send suggestions, etc. to the administrator. Email will be answered as soon as possible!

Click here to send comments, suggestions, help, etc regarding the MenWithFibro.com website. We really want to hear from you!

Home Symptoms Treatment The Muscles

The muscular view below, highlights the 18 Tender Points, as set forth by the American College of Rheumatology.  In order for a patient to have a diagnosis of fibromyalgia, constant pain must be present, and 11, of the 18 must be tender to pressure.

Fibromyalgia Tender Points (18)

Pain must be present on palpation with a 4 kg force in 11 of the following 18 sites (nine bilateral sites, for a total of 18 sites): It is approximately the same amount of pressure when you press your thumbnail, until it turns white.

Muscles Affected

Low cervical: at the anterior aspect of the interspaces between the transverse processes of C5-C7.
Trapezius: at the midpoint of the upper border.
Second rib: just lateral to the second costochondral junctions.
Knee: at the medial fat pad proximal to the joint line.
Occiput: at the insertions of one or more of the following muscles: trapezius, sternocleidomastoid, splenius capitus, semispinalis capitus.
Supraspinatus: above the scapular spine near the medial border.
Lateral epicondyle: 2 cm distal to the lateral epicondyle.
Gluteal: at the upper outer quadrant of the buttocks at the anterior edge of the gluteus maximus muscle. Greater trochanter: posterior to the greater trochanteric prominence.

Lay Terms

Lay Terms: Attachment of neck muscles at the base of the skull * Midway between neck and shoulder * Muscle over upper  inner shoulder blade * 2 cms below side bone at elbow * upper outer buttock * Hip bone *Just above knee on inside * Lower neck in front *Edge of upper breast bone