Q: Is it possible to fibromyalgia and not have tender points?
A: It is very possible to have fibromyalgia without any of the usual 18 tender points because there are atypical forms of the condition in which tender points may not be present.
See this Mayo Clinic page for a diagram of the tender points.
As you know this diagnosis is one of exclusion, so you should make sure that you had all the tests done to rule out other causes, such as Lyme disease, chronic fatigue syndrome, thyroid problems, etc. All other tests must be normal before one can get diagnosed with fibromyalgia.
— Answer from Dr. Hasan, a physician on JustAnswer.
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