Fibromyalgia is suggested by tender points located at which areas?

• A. Bilateral tender points on neck, jaw, shoulders, chest, upper back, and greater trochanter
• B. They are always unilateral
• C. They occur only in hands
• D. They are associated with high fever

Answer: (A)

Fibromyalgia is identified by widespread, symmetric tenderness at multiple sites rather than a localized or unilateral problem. The tender points are typically felt bilaterally in several regions, including the neck and jaw, shoulders, chest, upper back, and near the greater trochanter. Palpation at these bilateral points tends to reproduce pain even in the absence of visible swelling, reflecting a centralized pain amplification rather than an inflammatory process. Fever is not associated with fibromyalgia, which helps differentiate it from infectious or inflammatory conditions. So the pattern of bilateral tenderness across these areas fits fibromyalgia best, aligning with how the condition presents clinically.