tender point test

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Regular Member

Date Joined Jun 2010
Total Posts : 36
   Posted 7/1/2010 7:29 AM (GMT -7)   
How hard does the doctor have to push? How painful do these points have to be to get a positive diagnosis? confused

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Date Joined Nov 2008
Total Posts : 5951
   Posted 7/1/2010 8:07 AM (GMT -7)   
It probably depends on how nice your doctor is and how much s/he believes you. Mine didn't push hard, he actually put the idea of fibro in MY head (I had never heard of it - but that was almost 20 years ago!) Hope yours isn't a jerk!
    Diagnosed: Fibromyalgia, possible Meniere's, elevated liver enzymes, skin grafting on back, arthritis, scoliosis, lumbar disc damage, sciatica, IBS, migraine headaches, tachycardia, skin cancer surgeries on face
    Meds: Nortriptyline, Clonazepam, Darvocet as needed
    Multivitamins, l-lysine, probiotics, magnesium, malic acid, calcium + vit. D, vit. C
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Be yourself.  Everyone else is already taken.

Regular Member

Date Joined Jun 2010
Total Posts : 36
   Posted 7/1/2010 9:20 AM (GMT -7)   
I've been diagnosed with anxiety and panic attacks.
My symptoms are......backache, severe headaches that Tylenol and Iboprofen won't touch, problems concentrating and problems remembering stuff, constipation, sleep disturbances, I tire easily, sometimes weakness,sometimes aches and pains, Im sure there is more but it's hard to think.
I take Paxil and sometimes Ativan for my anxiety. Over the counter I take a multivitamin, stool softener, a vitamin B supplement when I remember, AZO yeast when I remember. I think I've given up on Tylenol and Ibuprofen but have turned to Aleve, pain patches, pain creams, and my best friend my heating pad.

Regular Member

Date Joined Jan 2010
Total Posts : 166
   Posted 7/1/2010 10:20 AM (GMT -7)   
I didn't know what the doctor was doing as she did the tender point test. She said, I really want to check something... and proceded. She did it rather quickly, moderate "force" I guess. Not enough force to bruise, just enough to make you know she was there. Went from one spot to another to another, giving me no time to 'think' about each spot, I think. I had 6 or 7 spots that I flinched or said "ow" and four that stood me right up off the chair... and I'm still not diagnosed. Two others I cringed, and she actually went back to those just to check again, those spots were just tender...not painful. I dont' know how else to explain it. lol.

Good luck!

Veteran Member

Date Joined Sep 2009
Total Posts : 663
   Posted 7/1/2010 11:59 AM (GMT -7)   
I too had never heard of fibro or trigger (tender) points until my doc started pressing on them. I have no idea how hard she pushed but it was horrible! I asked her to please never, ever do that again...lol My neck and back have the most tender ones, but I had pain with almost all of them. I read somewhere that they press just hard enough to turn their fingernail white, anyone else ever hear that?
Gentle Hugs,
Fibromyalgia, Chronic daily headaches, Migraine disorder (with and without aura), GERD, High blood pressure, Depression and Anxiety
Oxycontin, Flexeril as needed, Lopressor, Lexapro, Omeprazole, Clonazepam as needed, Promethazine as needed for nausea from migraines

Regular Member

Date Joined May 2010
Total Posts : 200
   Posted 7/1/2010 9:23 PM (GMT -7)   
so do you have to say "ow" or jump off your chair for them to consider it a tender point? I tend to be a pretty private person but if they ask me how bad it hurts, I will tell them. I am one of those who is still not diagnosed but hope to have the tender point test done soon.

Regular Member

Date Joined Apr 2010
Total Posts : 372
   Posted 7/2/2010 12:21 AM (GMT -7)   
I was aware of fibro, and the tender points. I was the one who raised the possibility of this diagnosis with the doctor. As I remember it, he used firm but not hard pressure. I know that I had a number of positives, but I'm not sure just how many. I did a great deal of flinching and yelling "ouch" while he was doing the examination!

Regular Member

Date Joined Jan 2010
Total Posts : 166
   Posted 7/2/2010 9:22 AM (GMT -7)   
Bridget, I, too, am a very private person. Not gonna say a word. When she pressed those points, well, we both knew it. Like I said, flinching or up and out of my chair, clearly to get away from her. I was so not expecting it that I made no attempt at holding in those first few ow's. After the first two, I was relieved every time she touched me and it didn't hurt. lol.

Lana Bear
Regular Member

Date Joined Jul 2010
Total Posts : 25
   Posted 7/2/2010 3:09 PM (GMT -7)   
Will a rheumatologist do this on a first visit?

Veteran Member

Date Joined Aug 2008
Total Posts : 1771
   Posted 7/2/2010 3:48 PM (GMT -7)   
My first rheumy pushed on a few tender points, but I was expecting it, so I controlled my reaction (just my nature) and just said, "Yeah, that hurts." Then he went around behind me and pushed on my neck/shoulder area without warning and just about sent me off the table.

Another rheumy I went to ( I just didn't like the first one) just pushed gently on the tender points, and I described my discomfort.

My husband and I played the game,"Does it hurt you when I touch you there?" (me touching him in the tp areas), and I was amazed that none of them hurt. I was like, "You mean normal people don't hurt when touched in those areas?" I now realize that ANY pain when touching the tp's is probably not normal. You shouldn't have pain with normal touching, IMO.

Hugs - Austen
"There is no charm equal to tenderness of  heart." - Jane Austen

getting by
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Date Joined Sep 2007
Total Posts : 41911
   Posted 7/2/2010 4:01 PM (GMT -7)   
Lana Bear,

Welcome to the fibromyalgia forum. I am so glad that you have joined us. As for the reumy, I am not sure. Hopefully somebody who knows will post. Basically I wanted to say to feel free to start your own thread and introduce yourself so that we can all get to know you. And do check out the second thread called "fibro101". I am sure you will find it very interesting. There is a lot of information to be read.

Take care, have a great weekend.

Hugs, Karen
  Moderator-Depression and fibromyalgia
fibromyalgia, Chronic fatigue, depression,allergies

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