Even being positve to all the tender points my first Rheumy was reluctant to dx me with fibro. But that was many years ago and the term Fibromyaglia had not even been coined yet. She dx'd me with Myofascial Pain Syndome and 'possible fibrotitis'...which is now Fibromyalgia. Fibro was an 'eye roller disease' way back then, more so than now. After ruling everything else out, my new Rhuemy uses the tender point test for a final dx.