Fibromyalgia (Fibrositis)
                        =========================

þ Tender Points:
 - in fibromyalgia, there are nine paired points that are almost invariably
   tender.  Testing for tenderness there, and for control points that
   shouldn't be tender, helps establish the diagnosis.
  + Tender points:
   1. Insertion of nuchal muscles into occiput
   2. Upper trapezius, midpoint
   3. Petoralis muscle - just lateral to second costochondral junction
   4. 2 cm below lateral epicondyle
   5. Upper gluteal region
   6. 2 cm posterior to Greater Trochanter
   7. Medial knee in area of anserine bursa
   8. Paraspinous, 3 cm lateral to midline at the level of the mid-scapula
   9. Above the Scapula spine near the medial border
  + Control points:
   1. Middle of forehead
   2. Volar aspect of Mid-forearm
   3. Thumbnail
   4. Muscles of anterior thigh

[Benner RM: Fibrositis. In: Kelly WN, Harris ED, Rudy S, Sledge CB (eds):
Textbook of Rheumatology, 4th ed. Philadelphia, WB Saunders, 1993.]