FIBROMYALGIA DIAGNOSTIC CRITERIA

1. Widespread pain index (WPI) and symptom severity score (SSS) 

  • WPI ≥ 7 and SSS ≥ 5 OR WPI 4-6 and SSS ≥ 9

2. Generalised pain: pain in 4/5 regions

3. Symptoms present ≥ 3 months 

The fibromyalgia diagnosis can now be made irrespective of other diagnoses (you do not need to rule out all other conditions that could explain the symptoms, if criteria 1-3 are all met). 

1. Widespread pain index (WPI)

    In the past week, where have you had pain? (check all that apply)

Symtpoms Severity Score (SSS) 

For each of the following, for the past week, rate 


In the past week, have you been bothered by any of the following? 

Summary: 

1. Criterion 1 is met if you have EITHER 

  • WPI ≥ 7 and SSS ≥  5 OR 

  • WPI 4-6 and SSS ≥  9

2. Generalised pain: met if you checked pain in 4/5 regions (not including items with *)

3. Symptoms present  ≥ 3 months 

Fibromyalgia is diagnosed if yu meet all 3 criteria 1-3, independent of whether other diagnoses contribute to these symptoms. This is new: FMS diagnosis used to require that there be no other diagnosis to explain the findings.