Diagnosis of fibromyalgia requires a history of a least three months of widespread pain, and pain and tenderness in at least 11 of 18 tender-point sites. These tender-point sites include fibrous tissue or muscles of the:
- Neck
- Shoulders
- Chest
- Rib cage
- Lower back
- Thighs
- Knees
- Arms (elbows)
- Buttocks

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