Location of tender points:

1. occiput: bilateral, at the suboccipital muscle insertions.
2. low cervical: bilateral, at the anterior aspects of the intertransvese spaces at C5-C7
3. trapezius: bilateral, at the midpoint of the upper border
4. supraspinatus: bilateral, at origins, above thescapula spine near the medial border
5. second rib: bilateral, at the second costochondral junctions, on the upper surfaces
6. lateral epicondyle: bilateral, 2 cm distal to the epicondyles
7. gluteal: bilateral, in the upper outer quadrants of buttocks in anterior fold of muscle
8. greater trochanter: bilateral, posterior to the trochanteric prominence
9. knee: bilateral, at the medial fat pad proximal to the joint line