• Richard Berwick, Chris Barker, Andreas Goebel, and guideline development group.
• Walton Centre NHS Foundation Trust, Liverpool, UK, and PhD student, Liverpool University, Liverpool, UK richard.berwick@liverpool.ac.uk.
• Clin Med (Lond). 2022 Nov 1; 22 (6): 570574570-574.

AbstractFibromyalgia syndrome (FMS) is a common widespread primary pain condition, with a worldwide prevalence of 2%-4%. Recent research has revealed important evidence for changes in central and peripheral nervous system functions and immunological activity. The diagnosis of FMS can be challenging with no known clinical laboratory investigations to confirm or refute its presence. Symptoms are commonly multiple, fluctuant and may not easily align with established medical diagnostic categories. It can be difficult for patients to articulate their array of symptoms, and for both patients and healthcare professionals to fully make sense of the complexities of the condition. As such, patients may be diagnosed inaccurately with alternative conditions, delaying diagnosis by years. The recent publication of the Royal College of Physicians' guidance aims to support clinicians in the diagnosis of FMS. Its purpose is to provide succinct, relevant information for patients and clinicians about FMS and its diagnosis.© Royal College of Physicians 2022. All rights reserved.

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