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===Widespread Pain Index === Before 2010, a tender point examination was needed to that assessed pain on pressure, but this has now been replaced by the more accurate Widespread Pain Index (WPI). The WPI scores pain in 19 locations: * Shoulder girdle - left and right * Hip (buttock, trochanter) - left and right * Jaw - left and right * Upper arm - left and right * Upper leg - left and right * Lower arm - left and right * Lower leg - left and right * Upper back * Lower back * Chest * Neck * Abdomen Pain in fibromyalgia must not be explained by another medical condition, and must persist for at least three months, and exist in addition to a combination of other symptoms.<ref name="ACR2010">{{Cite journal|url=https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf| title = American College of Rheumatology (ACR) Preliminary Diagnostic Criteria for Fibromyalgia | last = Wolfe | first = Frederick | date = May 2010|volume =62 | issue = 5 | pages = 600β610| doi = 10.1002/acr.20140|type=PDF|archive-url=|archive-date=|access-date= | authorlink = | last2 = Clauw | first2 = Daniel | authorlink2 = |journal=Arthritis Care & Research | last3 = Fitzcharles | first3 = Mary-Ann | first4 = Don | last5 = Katz | last4 = Goldenberg | first5 = Robert | last6 = Mease | first6 = Philip | last7 = Russel | first7 = Anthony | last8 = Russel | first8 = I. Jon | first9 = John | last9 = Winfield | first10 = Muhammad | last10 = Yunus | authorlink10 = Muhammad Yunus}}</ref> {{See also|Fibromyalgia|Fibromyalgia symptoms||||}}
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