Conquering Your Fibromyalgia Podcast
When I started this podcast—and the book that came before it—I had my patients in mind. In the exam room, time is limited. But the need for understanding complex, often misunderstood conditions like fibromyalgia is vast. That’s why I created this space: to offer deeper education, validation, and hope.
If you’ve been told that fibromyalgia "isn’t real'" or that it’s "all in your head," I want you to know: I see you. I believe you. And you're not alone. This podcast is here to affirm what you’ve lived through and to explain the science behind what you’re experiencing.
Whether you're living with fibromyalgia, supporting someone who is, or a healthcare professional seeking to better serve your patients, I hope you’ll find trusted, evidence-based insight drawn from my 28+ years as a medical doctor, pediatrician, internist, lifestyle medicine physician, and clinical lipidologist.
Together, let’s bring compassion and clarity to a condition that’s too often misunderstood—and help make the invisible, visible. You can learn more at www.conqueringyourfibromyalgia.com.
Conquering Your Fibromyalgia Podcast
Why Your Doctor is Measuring Your Fibromyalgia Wrong
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
Text Dr. Lenz any feedback or questions
Beyond the Pain Scale: Using WPI/SSS and FIQR to Measure Fibromyalgia Severity and Treatment Progress
The script explains that fibromyalgia care often relies too heavily on a 1–10 pain scale, overlooking fatigue, unrefreshed sleep, brain fog, and daily function, which leaves patients feeling unheard and clinicians without clear data. It describes how the American College of Rheumatology shifted from the 1990 tender point exam to revised criteria (2010, refined in 2011 and 2016) using two quick questionnaires: the Fibromyalgia Survey Criteria—Widespread Pain Index (19 pain regions) plus Symptom Severity Score (fatigue, unrefreshed sleep, cognitive symptoms, plus headaches/abdominal pain/depression), combined as the PSD—and the Revised Fibromyalgia Impact Questionnaire (FIQR), a 21-item measure of function, overall impact, and symptoms scored 0–100. Examples show how these tools provide baselines, track change, guide treatment adjustments, and capture clinically meaningful improvement beyond pain alone.
00:00 Beyond the Pain Scale
01:04 Why Fibro Gets Missed
03:36 Old Criteria to New Tools
04:30 Two Key Questionnaires
05:45 Widespread Pain Index
07:49 Symptom Severity Score
09:35 Diagnosis and Tracking Baseline
10:50 Advocating at Appointments
11:22 FIQR Daily Function
12:59 FIQR Impact and Symptoms
15:51 Meaningful Improvement Benchmarks
16:16 Using Both Tools Together
19:05 Tracking Life Factors Over Time
20:35 Wrap Up and Next Steps
Click here for the YouTube Channel
When I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.
Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...
