This is a chronic pain decision tool.
Fibromyalgia Diagnosis Calculator
I. Widespread Pain Index (WPI) Areas with pain over the past week.
Jaw, left --->
Jaw, right --->
Neck --->
Shoulder girdle, left --->
Shoulder girdle, right --->
Upper arm, left --->
Upper arm, right --->
Lower arm, left --->
Lower arm, right --->
Chest --->
Upper back --->
Abdomen --->
Lower back --->
Hip (buttock, trochanter), left --->
Hip (buttock, trochanter), right --->
Upper leg, left --->
Upper leg, right --->
Lower leg, left --->
Lower leg, right --->
II. Symptom Severity Score (SS scale score) For the each of the 3 symptoms below, indicate the level of severity over the past week.
Fatigue --->
Waking unrefreshed --->
Cognitive symptoms* --->
Considering somatic symptoms in general, the patient has: ---> *Somatic symptoms that might be considered: muscle pain, irritable bowel syndrome, fatigue/tiredness, thinking or remembering problem, muscle weakness, headache, pain/cramps in the abdomen, numbness/tingling, dizziness, insomnia, depression, constipation, pain in the upper abdomen, nausea, nervousness, chest pain, blurred vision, fever, diarrhea, dry mouth, itching, wheezing, Raynaud's phenomenon, hives/welts, ringing in ears, vomiting, heartburn, oral ulcers, loss of/change in taste, seizures, dry eyes, shortness of breath, loss of appetite, rash, sun sensitivity, hearing difficulties, easy bruising, hair loss, frequent urination, painful urination, and bladder spasms.
III. Duration --->
IV. Etiology --->
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WPI: WPI scorescore=(jaw_left)+(jaw_right)+(neck)+(shoulder_left)+(shoulder_right)+(upper_arm_left)+(upper_arm_right)+(lower_arm_left)+(lower_arm_right)+(chest)+(upper_back)+(abdomen)+(lower_back)+(hip_left)+(hip_right)+(upper_leg_left)+(upper_leg_right)+(lower_leg_left)+(lower_leg_right)
SS scale score: SS scale score scorescore=((somatic)+(cognitive)+(waking)+(fatigue))/100
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Fibromyalgia Assessment: fibromyalgia diagnostic interpretationscore=(etiology)+(duration)+(somatic)+(cognitive)+(waking)+(fatigue)+(jaw_left)+(jaw_right)+(neck)+(shoulder_left)+(shoulder_right)+(upper_arm_left)+(upper_arm_right)+(lower_arm_left)+(lower_arm_right)+(chest)+(upper_back)+(abdomen)+(lower_back)+(hip_left)+(hip_right)+(upper_leg_left)+(upper_leg_right)+(lower_leg_left)+(lower_leg_right);score>111202?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>111199?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>111102?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>111099?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>111002?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>110999?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>110902?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>110899?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>110806?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>110799?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>110706?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>110699?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>110606?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>110599?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>110506?'MEETS CRITIERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>110499?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>110406?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>110399?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>110306?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>110299?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>110206?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>110199?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>110106?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>110099?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>110006?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>109999?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>101202?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>101199?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>101102?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>101099?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>101002?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>100999?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>100902?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>100899?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>100806?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>100799?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>100706?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>100699?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>100606?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>100599?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>100506?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>100499?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>100406?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>100399?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>100306?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>100299?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>100206?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>100199?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>100106?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>100099?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>100006?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>99999?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain cannot be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>11202?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>11199?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>11102?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>11099?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>11002?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>10999?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>10902?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>10899?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>10806?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>10799?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>10706?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>10699?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>10606?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>10599?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>10506?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>10499?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>10406?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>10399?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>10306?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>10299?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>10206?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>10199?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>10106?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>10099?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>10006?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>9999?'DOES NOT MEET CRITERIA: Symptoms at a similar level of at least 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>1202?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>1199?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>1102?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>1099?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>1002?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>999?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>902?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 3 or more AND WPI of 9 or more.':score>899?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>806?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>799?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>706?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>699?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>606?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>599?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more BUT WPI less than 7.':score>506?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. SS scale score of 5 or more AND WPI of 7 or more.':score>499?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>406?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>399?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>306?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>299?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>206?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>199?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>106?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':score>99?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.':score>6?'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. WPI of 7 or more, but SS scale score less than 5.':'DOES NOT MEET CRITERIA: Symptoms for less than 3 months. Pain can be attributed to another etiology. Neither SS scale score nor WPI meet threshold.'
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Criteria for fibromyalgia are 1) WPI ≥7 and SS scale score ≥5 OR WPI of 3 to 6 and SS scale score ≥9; 2) Symptoms at a similar level of at least 3 months’ duration; and 3) Pain that cannot be attributed to another etiology.
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