When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Fibromyalgia

Last reviewed: 5 Aug 2025
Last updated: 08 Dec 2023

Summary

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • widespread pain and stiffness
  • sleep disturbance/fatigue
  • cognitive difficulties
Todos los datos

Otros factores de diagnóstico

  • allodynia and/or hyperalgesia
  • diffuse tenderness on exam
  • sensitivity to sensory stimuli
  • headaches
  • mood disturbance
  • numbness/tingling sensations
Todos los datos

Factores de riesgo

  • family history of fibromyalgia (FM)
  • rheumatologic conditions
  • age between 20 and 60 years
  • female sex
  • stressful events
  • sleep problems
  • infections
  • vitamin D deficiency
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • clinical diagnosis
Todos los datos

Pruebas diagnósticas que deben considerarse

  • erythrocyte sedimentation rate (ESR)/CRP
  • thyroid function test
  • CBC
  • rheumatoid factor
  • anti-cyclic citrullinated protein (CCP) antibody
  • antinuclear antibody or anti-DNA antibody
  • vitamin D level
  • creatinine kinase
  • ferritin
  • overnight oximetry/polysomnography
Todos los datos

Algoritmo de tratamiento

En curso

mild or moderate fibromyalgia

severe fibromyalgia

Colaboradores

Autores

Matthew A. Bartlett, MB, BCh, BAO

Assistant Professor of Medicine

Fibromyalgia Clinic

Division of General Internal Medicine

Department of Internal Medicine

Mayo Clinic

Rochester

MN

Divulgaciones

MAB declares that he owns stock in Johnson & Johnson. No products developed or marketed by Johnson & Johnson are included in this topic.

​Christopher V. Anstine, MD

Assistant Professor of Medicine

Fibromyalgia Clinic

Division of General Internal Medicine

Department of Internal Medicine

Mayo Clinic

Rochester

MN

Divulgaciones

CVA declares he has no competing interests.

Agradecimientos

Dr Matthew A. Barlett and Dr Christopher V. Anstine would like to gratefully acknowledge Dr Daniel J. Clauw and Dr Lisa Ware Corbin, previous contributors to this topic.

Divulgaciones

LWC and DJC declare that they have no competing interests.

Revisores por pares

Don Goldenberg, MD

Emeritus Professor of Medicine

Tufts University School of Medicine

Boston

MA

Divulgaciones

DG declares that he has no competing interests.

Robert Bennett, MD

Professor of Medicine and Nursing Research

Oregon Health & Science University

Portland

OR

Divulgaciones

RB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum. 2016 Dec;46(3):319-29. Resumen

Fitzcharles MA, Ste-Marie PA, Goldenberg DL, et al; Canadian Fibromyalgia Guidelines Committee. 2012 Canadian guidelines for the diagnosis and management of fibromyalgia syndrome. Aug 2012 [internet publication].Texto completo

Macfarlane GJ, Kronisch C, Dean LE, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017 Feb;76(2):318-28.Texto completo  Resumen

Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA. 2004 Nov 17;292(19):2388-95.Texto completo  Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Diferenciales

    • Rheumatoid arthritis (RA)
    • Polymyalgia rheumatica (PMR)
    • Systemic lupus erythematosus (SLE)
    Más Diferenciales
  • Guías de práctica clínica

    • ACTTION-APS Pain Taxonomy (AAPT) diagnostic criteria for fibromyalgia
    • EULAR revised recommendations for the management of fibromyalgia
    Más Guías de práctica clínica
  • Folletos para el paciente

    Fibromyalgia: what is it?

    Fibromyalgia: what are the treatment options?

    Más Folletos para el paciente
  • padlock-lockedInicie sesión o suscríbase para acceder a todo el BMJ Best Practice

El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad