Multiple Tender Points

What Causes Multiple Tender Points?

Multiple tender points can have various causes, just like most other symptoms.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose multiple tender points, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "multiple tender points" as a symptom.  For example, chronic fatigue-fibromyalgia.

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
swollen axillary nodes
brittle fingernails
morning stiffness lasting hours
constant fatigue
fatigue for over 3 months
severe diffuse bone pain
non-specific arm pain
disturbed sleep
having a CFS diagnosis
low energy/stamina
severely tight muscles
numb/burning/tingling extremities
... and more than 30 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of multiple tender points.

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Existing Skin Conditions section of the questionnaire, The Analyst™ will ask the following question about multiple tender points:
Do you have any tender points (very sensitive to touch) in these areas? Sides of: front of neck, rear base of neck, rear base of skull, or breastbone; shoulder blades; elbows; knees; tops of buttocks, outside rear upper legs under buttocks.
Possible responses:
→ No / not very sensitive to touch / don't know
→ Not now, but I had them in the past
→ Yes, 1-5 tender points
→ Yes, 6-10 tender points
→ Yes, 11 or more tender points
Based on your response to this question, which may indicate history of tender points, one to five tender points, six to ten tender points or eleven or more tender points, The Analyst™ will consider possibilities such as Chronic Fatigue / Fibromyalgia Syndrome.
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