{"content_id":"rnhqeiyk9n","slug":"normal-test-results-whole-body-pain-care-guide","locale":"en","schema_type":"Article","category":"knowledge_base","category_name":"Knowledge Base","title":"Widespread Pain With Normal Tests: Causes and When to Return","summary":"Pain can be real even when test results are normal. This explains the limits of test results and when to return for a follow-up based on symptoms, and corrects misconceptions about aging and life-sustaining treatment.","sponsorship_disclosure":null,"affiliate_disclosure":null,"commerce_disclosure":null,"author":{"name":"Injoys Editorial Team","url":"https://injoys.com/ko/about"},"key_points":["Normal test results alone do not mean pain is faked or caused by stress.","Somatic symptom disorder is not diagnosed simply because a cause has not been found.","False positives and overdiagnosis are different concepts, and neither is a reason to avoid necessary tests.","You can still be evaluated and treated for arthritis and urinary incontinence as you get older.","In Korea, an advance directive for life-sustaining treatment is not a document that refuses all treatment."],"content_markdown":"Widespread pain can be real even when test results are normal. Normal results alone do not mean the pain is caused by stress. If pain is interfering with daily life, you need a reassessment. New warning signs need medical attention regardless of earlier test results.\n\nYou can check NICE guidelines and information from the National Agency for Management of Life-Sustaining Treatment for clinical and procedural guidance. (Verified: To complete an advance directive on life-sustaining treatment, a person must be at least 19 years old and have decision-making capacity. The information page does not show an effective period or update date. · Source: lst.go.kr · Checked 2026-10-13)\n\n## Why does my whole body hurt when my test results are normal?\n\nA normal result means the test did not find a clear abnormality. It does not mean every cause of pain has been ruled out. Test results are interpreted alongside symptoms and examination findings. Tests can also produce false negatives, giving a negative result when a condition is present. [MedlinePlus guide to test results](https://www.medlineplus.gov/lab-tests/how-to-understand-your-lab-results/)\n\nFibromyalgia is one example of a condition that is difficult to identify through tests alone. It can cause widespread pain along with fatigue and sleep problems. No specific blood test or imaging test can confirm it. Healthcare professionals assess the pattern of symptoms, examine the patient, and consider other causes. [NIAMS guide to diagnosing fibromyalgia](https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take)\n\nNICE describes pain that persists or recurs for **more than 3 months** as chronic pain. Chronic primary pain cannot be fully explained by an underlying condition alone. It can also occur alongside pain caused by an underlying condition. NICE recommends respecting the patient's experience of pain, even when explaining normal results. [NICE chronic pain guideline NG193, April 7, 2021](https://www.nice.org.uk/guidance/ng193/chapter/recommendations)\n\n## The difference between stress and somatic symptom disorder\n\nStress affecting pain does not mean a person has somatic symptom disorder. Changes in how pain is processed may be involved in fibromyalgia. Its exact cause, however, is not yet fully understood. It is difficult to describe it as a complete breakdown of the brain's pain-relieving function. [NIAMS overview of fibromyalgia](https://www.niams.nih.gov/health-topics/fibromyalgia)\n\nWhen diagnosing somatic symptom disorder, clinicians assess excessive thoughts, feelings, or behaviors related to symptoms. It can also occur in people who have a physical illness. It is not diagnosed simply because no physical cause has been found. People with this diagnosis genuinely experience their symptoms. [American Psychiatric Association guide to somatic symptom disorder](https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder)\n\nNormal test results should therefore not lead anyone to conclude that a patient is faking their illness. If anxiety is making daily life difficult, describe that difficulty at your appointment too. You can receive mental health counseling alongside an assessment of physical symptoms.\n\n## Common mistakes when interpreting test results\n\nA result flagged as abnormal is not the same as a confirmed diagnosis. A reference range is a comparison standard used to interpret results. Conditions at the time of testing, including food or medication, can also affect results. Check how the result compares with previous ones. [MedlinePlus guide to test results](https://www.medlineplus.gov/lab-tests/how-to-understand-your-lab-results/)\n\n| Concept | Meaning | Interpretation to avoid |\n| --- | --- | --- |\n| Result outside the reference range | A result outside the laboratory's comparison range | Assuming that any result outside the range means a serious illness |\n| False positive | A positive result when the person does not have the condition | Assuming a positive result confirms the diagnosis |\n| False negative | A negative result when the person has the condition | Assuming a normal result rules out every condition |\n| Overdiagnosis | Detecting a condition that would never cause problems during a person's lifetime | Assuming it means the same thing as a false positive |\n\nIn cancer screening, overdiagnosis can lead to unnecessary treatment. Additional tests after a false positive can also be burdensome or harmful. This does not mean you should avoid tests that are needed when you have symptoms. Choosing a test involves weighing its expected benefits and harms. [NCI overview of cancer screening](https://www.cancer.gov/about-cancer/screening/patient-screening-overview-pdq)\n\nIf you are advised to have another test, ask about the following:\n\n- The condition being considered and the reasons for suspecting it\n- How treatment would change depending on the result\n- The test's side effects and burdens\n- When monitoring is an option and when to return for follow-up\n\nDo not treat possibilities listed online or by AI as confirmed diagnoses. Conversely, do not dismiss every result just because a value is only slightly high. Ask the healthcare professional caring for you to confirm the units and reference range on your report.\n\n## When to seek follow-up care based on symptoms\n\nNew warning signs need assessment regardless of past normal results. Chest pain and neurological symptoms, in particular, should be judged based on your current condition. The table below is a guide to when to seek care, not a diagnostic chart.\n\n| Current condition | Recommended action |\n| --- | --- |\n| Sudden, persistent chest pain with shortness of breath or a cold sweat | Seek emergency medical help immediately |\n| Back pain with new difficulty urinating, reduced sensation in the perineum, or weakness in both legs | Seek an emergency assessment immediately |\n| Sudden confusion or inability to recognize places or people | Seek an immediate medical assessment |\n| Back pain that rapidly worsens or is accompanied by fever or chills | Seek prompt medical care |\n| Ongoing pain that interferes with sleep, going to work, or household tasks | Book a follow-up appointment to review the diagnosis and treatment plan |\n\nYou can check the emergency warning signs for chest pain in the [NHS chest pain guide](https://www.nhs.uk/symptoms/chest-pain/). The [NHS back pain guide](https://www.nhs.uk/conditions/back-pain/) explains the combination of back pain and changes in urination. Sudden confusion is also a symptom whose cause needs to be identified promptly. [NHS guide to sudden confusion](https://www.nhs.uk/symptoms/confusion/)\n\n## What to discuss at your next appointment\n\nAt your follow-up appointment, explain specifically how much the pain limits your daily life. An assessment for fibromyalgia also looks at where the pain occurs, how long it has lasted, and how severe it is. Fatigue and sleep problems are useful information for your care too. You can prepare notes in the following order. [NIAMS guide to diagnosis](https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take)\n\n1. Write down when the symptoms started and where you hurt.\n2. Record when the pain gets worse or eases.\n3. Explain what has become difficult during sleep or daily activities.\n4. Bring previous test results and a list of the medicines and supplements you take.\n5. Ask when you should be assessed again and which symptoms mean you should come back sooner.\n\nYou can organize your appointment notes under these headings.\n\n| What to record | Details to include |\n| --- | --- |\n| Changes in symptoms | When they started, new symptoms, whether they have worsened |\n| Pattern of pain | Location, duration, relationship to movement |\n| Limits on daily life | Activities that are difficult when walking, sleeping, or working |\n| Response to treatment | Changes after taking medication and any side effects |\n| Test information | Test names, dates, reports |\n\nWhether to repeat tests is decided based on this information and an examination. Even with the same symptoms, new findings may change the direction of the assessment. A plan to manage symptoms can be discussed even if the cause is unclear. [NICE chronic pain guideline](https://www.nice.org.uk/guidance/ng193/chapter/recommendations)\n\n## How are exercise and medication chosen?\n\nPain management is chosen according to the diagnosis and your current ability to be active. Exercise, psychological therapy, and medication can be used together for fibromyalgia. Anti-inflammatory painkillers have limited effect on fibromyalgia itself. This should not be taken to mean that no pain medication will help. [NIAMS guide to treatment](https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take)\n\nStart with a low level of activity you can manage and adjust from there. There is no basis for requiring someone in severe pain to walk for a set amount of time. Too much activity can also worsen symptoms. Before starting exercise, discuss an appropriate level with a healthcare professional.\n\n- Break activities into manageable parts to avoid overdoing them.\n- Try to keep a regular sleep schedule.\n- Record how well medication works and any side effects.\n- If emotional difficulties are significant, consider counseling as well.\n\nAn irregular routine alone cannot establish the cause of your current pain. Adjusting daily habits is one way to manage symptoms alongside any care you need. Do not stop or increase prescribed medication on your own; make changes with a healthcare professional.\n\n## Must arthritis and urinary incontinence be endured as part of aging?\n\nSymptoms that become more common with age can still be assessed and treated. Exercise and symptom management can help improve function in osteoarthritis. Treatment or management options for urinary incontinence also depend on its cause. Do not decide whether treatment is needed based on age alone.\n\n| Problem | What to check | Management options |\n| --- | --- | --- |\n| Osteoarthritis pain | Pain severity and limits on daily function | Tailored exercise, weight management and medication if needed |\n| Difficulty walking | Walking ability and need for a mobility aid | Consider a cane or another walking aid |\n| Urine leakage | When it happens, accompanying symptoms, effects of medications or conditions | Lifestyle changes and treatment suited to the type of incontinence |\n\nNICE recommends considering walking aids for osteoarthritis of the lower limbs. Oral anti-inflammatory painkillers are used after weighing risks to the stomach, kidneys, and cardiovascular system, among others. When medication is needed, NICE recommends using the lowest effective dose for a short time. [NICE osteoarthritis guideline NG226](https://www.nice.org.uk/guidance/ng226/chapter/Recommendations)\n\nUrinary incontinence is common, but it is not regarded as simply an inevitable result of aging. It can be related to pregnancy and childbirth, prostate problems, or other health problems. If you develop symptoms, discuss the cause and treatment options with a healthcare professional. [NIDDK guide to urinary incontinence](https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/definition-facts)\n\n## Are pneumonia and delirium signs that someone is dying?\n\nPneumonia or delirium alone does not establish that someone is dying. Pneumonia is an infection caused by bacteria, viruses, or other germs. If swallowing becomes impaired, food or other material can enter the airway. This can increase the risk of pneumonia. [NHLBI guide to the causes of pneumonia](https://www.nhlbi.nih.gov/health/pneumonia/causes)\n\nPneumonia is treated according to the person's condition and its cause. Severe cases may require hospitalization or intensive care. Intensive care can include treatment intended to help recovery. Describing pneumonia only as a natural part of dying can mean missing an opportunity for treatment. [NHLBI guide to pneumonia treatment](https://www.nhlbi.nih.gov/health/pneumonia/treatment)\n\nThe medical term for a state of sudden confusion is delirium. It can have many causes, including infection and medication. If you notice a sudden change, tell a healthcare professional immediately. [NHS guide to delirium](https://www.nhs.uk/symptoms/confusion/)\n\nExperiencing delirium does not necessarily mean a permanent loss of personality. The extent and time course of recovery vary from person to person. Family members can tell healthcare professionals about behavior that differs from the person's usual behavior. [Guy's and St Thomas' guide to delirium](https://www.guysandstthomas.nhs.uk/health-information/delirium-sudden-confusion)\n\n## What an advance directive on life-sustaining treatment means and who can complete one\n\nIn Korea, an advance directive on life-sustaining treatment is a document for planning ahead for the dying process. It lets you record your wishes about life-sustaining treatment and hospice care in advance. It is not a document refusing all emergency treatment or treatment for conditions from which you could recover. The decision to complete one is voluntary and should follow a thorough explanation.\n\nThe National Agency for Management of Life-Sustaining Treatment's “Advance Directives on Life-Sustaining Treatment in Video” states:\n\n\u003e Any adult who is at least 19 years old and has decision-making capacity can complete one.\n\nA person **at least 19 years old who has decision-making capacity** can complete one. Withholding or withdrawing life-sustaining treatment requires a medical determination that the patient is in the dying process. The legal procedure for confirming the patient's wishes must also be followed. Pain relief and the basic provision of nutrition, water, and oxygen are not subject to withdrawal. [National Agency for Management of Life-Sustaining Treatment explanation of the system](https://www.lst.go.kr/addt/video.do)\n\nIf you are considering completing one, prepare in the following order.\n\n1. Check which registration organizations are designated by the Ministry of Health and Welfare and when you can visit.\n2. Bring identification to verify your identity.\n3. Listen to the explanation at the registration organization, make sure you understand it, and complete the document yourself.\n4. Confirm that registration is complete.\n\nSimply filling out a form at home does not give it legal effect. You must complete and register it through a registration organization. You can change or withdraw it later if your wishes change. [National Agency for Management of Life-Sustaining Treatment guide to advance directives on life-sustaining treatment](https://www.lst.go.kr/addt/medicalintent.do)","content_html":"\u003cp\u003eWidespread pain can be real even when test results are normal. Normal results alone do not mean the pain is caused by stress. If pain is interfering with daily life, you need a reassessment. New warning signs need medical attention regardless of earlier test results.\u003c/p\u003e\n\u003cp\u003eYou can check NICE guidelines and information from the National Agency for Management of Life-Sustaining Treatment for clinical and procedural guidance. (Verified: To complete an advance directive on life-sustaining treatment, a person must be at least 19 years old and have decision-making capacity. The information page does not show an effective period or update date. · Source: lst.go.kr · Checked 2026-10-13)\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#why-does-my-whole-body-hurt-when-my-test-results-are-normal\" class=\"anchor\" id=\"why-does-my-whole-body-hurt-when-my-test-results-are-normal\"\u003e\u003c/a\u003eWhy does my whole body hurt when my test results are normal?\u003c/h2\u003e\n\u003cp\u003eA normal result means the test did not find a clear abnormality. It does not mean every cause of pain has been ruled out. Test results are interpreted alongside symptoms and examination findings. Tests can also produce false negatives, giving a negative result when a condition is present. \u003ca href=\"https://www.medlineplus.gov/lab-tests/how-to-understand-your-lab-results/\"\u003eMedlinePlus guide to test results\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eFibromyalgia is one example of a condition that is difficult to identify through tests alone. It can cause widespread pain along with fatigue and sleep problems. No specific blood test or imaging test can confirm it. Healthcare professionals assess the pattern of symptoms, examine the patient, and consider other causes. \u003ca href=\"https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take\"\u003eNIAMS guide to diagnosing fibromyalgia\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eNICE describes pain that persists or recurs for \u003cstrong\u003emore than 3 months\u003c/strong\u003e as chronic pain. Chronic primary pain cannot be fully explained by an underlying condition alone. It can also occur alongside pain caused by an underlying condition. NICE recommends respecting the patient's experience of pain, even when explaining normal results. \u003ca href=\"https://www.nice.org.uk/guidance/ng193/chapter/recommendations\"\u003eNICE chronic pain guideline NG193, April 7, 2021\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#the-difference-between-stress-and-somatic-symptom-disorder\" class=\"anchor\" id=\"the-difference-between-stress-and-somatic-symptom-disorder\"\u003e\u003c/a\u003eThe difference between stress and somatic symptom disorder\u003c/h2\u003e\n\u003cp\u003eStress affecting pain does not mean a person has somatic symptom disorder. Changes in how pain is processed may be involved in fibromyalgia. Its exact cause, however, is not yet fully understood. It is difficult to describe it as a complete breakdown of the brain's pain-relieving function. \u003ca href=\"https://www.niams.nih.gov/health-topics/fibromyalgia\"\u003eNIAMS overview of fibromyalgia\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eWhen diagnosing somatic symptom disorder, clinicians assess excessive thoughts, feelings, or behaviors related to symptoms. It can also occur in people who have a physical illness. It is not diagnosed simply because no physical cause has been found. People with this diagnosis genuinely experience their symptoms. \u003ca href=\"https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder\"\u003eAmerican Psychiatric Association guide to somatic symptom disorder\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eNormal test results should therefore not lead anyone to conclude that a patient is faking their illness. If anxiety is making daily life difficult, describe that difficulty at your appointment too. You can receive mental health counseling alongside an assessment of physical symptoms.\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#common-mistakes-when-interpreting-test-results\" class=\"anchor\" id=\"common-mistakes-when-interpreting-test-results\"\u003e\u003c/a\u003eCommon mistakes when interpreting test results\u003c/h2\u003e\n\u003cp\u003eA result flagged as abnormal is not the same as a confirmed diagnosis. A reference range is a comparison standard used to interpret results. Conditions at the time of testing, including food or medication, can also affect results. Check how the result compares with previous ones. \u003ca href=\"https://www.medlineplus.gov/lab-tests/how-to-understand-your-lab-results/\"\u003eMedlinePlus guide to test results\u003c/a\u003e\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eConcept\u003c/th\u003e\n\u003cth\u003eMeaning\u003c/th\u003e\n\u003cth\u003eInterpretation to avoid\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Concept\"\u003eResult outside the reference range\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eA result outside the laboratory's comparison range\u003c/td\u003e\n\u003ctd data-label=\"Interpretation to avoid\"\u003eAssuming that any result outside the range means a serious illness\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Concept\"\u003eFalse positive\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eA positive result when the person does not have the condition\u003c/td\u003e\n\u003ctd data-label=\"Interpretation to avoid\"\u003eAssuming a positive result confirms the diagnosis\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Concept\"\u003eFalse negative\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eA negative result when the person has the condition\u003c/td\u003e\n\u003ctd data-label=\"Interpretation to avoid\"\u003eAssuming a normal result rules out every condition\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Concept\"\u003eOverdiagnosis\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eDetecting a condition that would never cause problems during a person's lifetime\u003c/td\u003e\n\u003ctd data-label=\"Interpretation to avoid\"\u003eAssuming it means the same thing as a false positive\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eIn cancer screening, overdiagnosis can lead to unnecessary treatment. Additional tests after a false positive can also be burdensome or harmful. This does not mean you should avoid tests that are needed when you have symptoms. Choosing a test involves weighing its expected benefits and harms. \u003ca href=\"https://www.cancer.gov/about-cancer/screening/patient-screening-overview-pdq\"\u003eNCI overview of cancer screening\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eIf you are advised to have another test, ask about the following:\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eThe condition being considered and the reasons for suspecting it\u003c/li\u003e\n\u003cli\u003eHow treatment would change depending on the result\u003c/li\u003e\n\u003cli\u003eThe test's side effects and burdens\u003c/li\u003e\n\u003cli\u003eWhen monitoring is an option and when to return for follow-up\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eDo not treat possibilities listed online or by AI as confirmed diagnoses. Conversely, do not dismiss every result just because a value is only slightly high. Ask the healthcare professional caring for you to confirm the units and reference range on your report.\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#when-to-seek-follow-up-care-based-on-symptoms\" class=\"anchor\" id=\"when-to-seek-follow-up-care-based-on-symptoms\"\u003e\u003c/a\u003eWhen to seek follow-up care based on symptoms\u003c/h2\u003e\n\u003cp\u003eNew warning signs need assessment regardless of past normal results. Chest pain and neurological symptoms, in particular, should be judged based on your current condition. The table below is a guide to when to seek care, not a diagnostic chart.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eCurrent condition\u003c/th\u003e\n\u003cth\u003eRecommended action\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current condition\"\u003eSudden, persistent chest pain with shortness of breath or a cold sweat\u003c/td\u003e\n\u003ctd data-label=\"Recommended action\"\u003eSeek emergency medical help immediately\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current condition\"\u003eBack pain with new difficulty urinating, reduced sensation in the perineum, or weakness in both legs\u003c/td\u003e\n\u003ctd data-label=\"Recommended action\"\u003eSeek an emergency assessment immediately\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current condition\"\u003eSudden confusion or inability to recognize places or people\u003c/td\u003e\n\u003ctd data-label=\"Recommended action\"\u003eSeek an immediate medical assessment\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current condition\"\u003eBack pain that rapidly worsens or is accompanied by fever or chills\u003c/td\u003e\n\u003ctd data-label=\"Recommended action\"\u003eSeek prompt medical care\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current condition\"\u003eOngoing pain that interferes with sleep, going to work, or household tasks\u003c/td\u003e\n\u003ctd data-label=\"Recommended action\"\u003eBook a follow-up appointment to review the diagnosis and treatment plan\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eYou can check the emergency warning signs for chest pain in the \u003ca href=\"https://www.nhs.uk/symptoms/chest-pain/\"\u003eNHS chest pain guide\u003c/a\u003e. The \u003ca href=\"https://www.nhs.uk/conditions/back-pain/\"\u003eNHS back pain guide\u003c/a\u003e explains the combination of back pain and changes in urination. Sudden confusion is also a symptom whose cause needs to be identified promptly. \u003ca href=\"https://www.nhs.uk/symptoms/confusion/\"\u003eNHS guide to sudden confusion\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#what-to-discuss-at-your-next-appointment\" class=\"anchor\" id=\"what-to-discuss-at-your-next-appointment\"\u003e\u003c/a\u003eWhat to discuss at your next appointment\u003c/h2\u003e\n\u003cp\u003eAt your follow-up appointment, explain specifically how much the pain limits your daily life. An assessment for fibromyalgia also looks at where the pain occurs, how long it has lasted, and how severe it is. Fatigue and sleep problems are useful information for your care too. You can prepare notes in the following order. \u003ca href=\"https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take\"\u003eNIAMS guide to diagnosis\u003c/a\u003e\u003c/p\u003e\n\u003col\u003e\n\u003cli\u003eWrite down when the symptoms started and where you hurt.\u003c/li\u003e\n\u003cli\u003eRecord when the pain gets worse or eases.\u003c/li\u003e\n\u003cli\u003eExplain what has become difficult during sleep or daily activities.\u003c/li\u003e\n\u003cli\u003eBring previous test results and a list of the medicines and supplements you take.\u003c/li\u003e\n\u003cli\u003eAsk when you should be assessed again and which symptoms mean you should come back sooner.\u003c/li\u003e\n\u003c/ol\u003e\n\u003cp\u003eYou can organize your appointment notes under these headings.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eWhat to record\u003c/th\u003e\n\u003cth\u003eDetails to include\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to record\"\u003eChanges in symptoms\u003c/td\u003e\n\u003ctd data-label=\"Details to include\"\u003eWhen they started, new symptoms, whether they have worsened\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to record\"\u003ePattern of pain\u003c/td\u003e\n\u003ctd data-label=\"Details to include\"\u003eLocation, duration, relationship to movement\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to record\"\u003eLimits on daily life\u003c/td\u003e\n\u003ctd data-label=\"Details to include\"\u003eActivities that are difficult when walking, sleeping, or working\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to record\"\u003eResponse to treatment\u003c/td\u003e\n\u003ctd data-label=\"Details to include\"\u003eChanges after taking medication and any side effects\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to record\"\u003eTest information\u003c/td\u003e\n\u003ctd data-label=\"Details to include\"\u003eTest names, dates, reports\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eWhether to repeat tests is decided based on this information and an examination. Even with the same symptoms, new findings may change the direction of the assessment. A plan to manage symptoms can be discussed even if the cause is unclear. \u003ca href=\"https://www.nice.org.uk/guidance/ng193/chapter/recommendations\"\u003eNICE chronic pain guideline\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#how-are-exercise-and-medication-chosen\" class=\"anchor\" id=\"how-are-exercise-and-medication-chosen\"\u003e\u003c/a\u003eHow are exercise and medication chosen?\u003c/h2\u003e\n\u003cp\u003ePain management is chosen according to the diagnosis and your current ability to be active. Exercise, psychological therapy, and medication can be used together for fibromyalgia. Anti-inflammatory painkillers have limited effect on fibromyalgia itself. This should not be taken to mean that no pain medication will help. \u003ca href=\"https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take\"\u003eNIAMS guide to treatment\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eStart with a low level of activity you can manage and adjust from there. There is no basis for requiring someone in severe pain to walk for a set amount of time. Too much activity can also worsen symptoms. Before starting exercise, discuss an appropriate level with a healthcare professional.\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eBreak activities into manageable parts to avoid overdoing them.\u003c/li\u003e\n\u003cli\u003eTry to keep a regular sleep schedule.\u003c/li\u003e\n\u003cli\u003eRecord how well medication works and any side effects.\u003c/li\u003e\n\u003cli\u003eIf emotional difficulties are significant, consider counseling as well.\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eAn irregular routine alone cannot establish the cause of your current pain. Adjusting daily habits is one way to manage symptoms alongside any care you need. Do not stop or increase prescribed medication on your own; make changes with a healthcare professional.\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#must-arthritis-and-urinary-incontinence-be-endured-as-part-of-aging\" class=\"anchor\" id=\"must-arthritis-and-urinary-incontinence-be-endured-as-part-of-aging\"\u003e\u003c/a\u003eMust arthritis and urinary incontinence be endured as part of aging?\u003c/h2\u003e\n\u003cp\u003eSymptoms that become more common with age can still be assessed and treated. Exercise and symptom management can help improve function in osteoarthritis. Treatment or management options for urinary incontinence also depend on its cause. Do not decide whether treatment is needed based on age alone.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eProblem\u003c/th\u003e\n\u003cth\u003eWhat to check\u003c/th\u003e\n\u003cth\u003eManagement options\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Problem\"\u003eOsteoarthritis pain\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003ePain severity and limits on daily function\u003c/td\u003e\n\u003ctd data-label=\"Management options\"\u003eTailored exercise, weight management and medication if needed\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Problem\"\u003eDifficulty walking\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eWalking ability and need for a mobility aid\u003c/td\u003e\n\u003ctd data-label=\"Management options\"\u003eConsider a cane or another walking aid\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Problem\"\u003eUrine leakage\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eWhen it happens, accompanying symptoms, effects of medications or conditions\u003c/td\u003e\n\u003ctd data-label=\"Management options\"\u003eLifestyle changes and treatment suited to the type of incontinence\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eNICE recommends considering walking aids for osteoarthritis of the lower limbs. Oral anti-inflammatory painkillers are used after weighing risks to the stomach, kidneys, and cardiovascular system, among others. When medication is needed, NICE recommends using the lowest effective dose for a short time. \u003ca href=\"https://www.nice.org.uk/guidance/ng226/chapter/Recommendations\"\u003eNICE osteoarthritis guideline NG226\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eUrinary incontinence is common, but it is not regarded as simply an inevitable result of aging. It can be related to pregnancy and childbirth, prostate problems, or other health problems. If you develop symptoms, discuss the cause and treatment options with a healthcare professional. \u003ca href=\"https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/definition-facts\"\u003eNIDDK guide to urinary incontinence\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#are-pneumonia-and-delirium-signs-that-someone-is-dying\" class=\"anchor\" id=\"are-pneumonia-and-delirium-signs-that-someone-is-dying\"\u003e\u003c/a\u003eAre pneumonia and delirium signs that someone is dying?\u003c/h2\u003e\n\u003cp\u003ePneumonia or delirium alone does not establish that someone is dying. Pneumonia is an infection caused by bacteria, viruses, or other germs. If swallowing becomes impaired, food or other material can enter the airway. This can increase the risk of pneumonia. \u003ca href=\"https://www.nhlbi.nih.gov/health/pneumonia/causes\"\u003eNHLBI guide to the causes of pneumonia\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003ePneumonia is treated according to the person's condition and its cause. Severe cases may require hospitalization or intensive care. Intensive care can include treatment intended to help recovery. Describing pneumonia only as a natural part of dying can mean missing an opportunity for treatment. \u003ca href=\"https://www.nhlbi.nih.gov/health/pneumonia/treatment\"\u003eNHLBI guide to pneumonia treatment\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eThe medical term for a state of sudden confusion is delirium. It can have many causes, including infection and medication. If you notice a sudden change, tell a healthcare professional immediately. \u003ca href=\"https://www.nhs.uk/symptoms/confusion/\"\u003eNHS guide to delirium\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eExperiencing delirium does not necessarily mean a permanent loss of personality. The extent and time course of recovery vary from person to person. Family members can tell healthcare professionals about behavior that differs from the person's usual behavior. \u003ca href=\"https://www.guysandstthomas.nhs.uk/health-information/delirium-sudden-confusion\"\u003eGuy's and St Thomas' guide to delirium\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#what-an-advance-directive-on-life-sustaining-treatment-means-and-who-can-complete-one\" class=\"anchor\" id=\"what-an-advance-directive-on-life-sustaining-treatment-means-and-who-can-complete-one\"\u003e\u003c/a\u003eWhat an advance directive on life-sustaining treatment means and who can complete one\u003c/h2\u003e\n\u003cp\u003eIn Korea, an advance directive on life-sustaining treatment is a document for planning ahead for the dying process. It lets you record your wishes about life-sustaining treatment and hospice care in advance. It is not a document refusing all emergency treatment or treatment for conditions from which you could recover. The decision to complete one is voluntary and should follow a thorough explanation.\u003c/p\u003e\n\u003cp\u003eThe National Agency for Management of Life-Sustaining Treatment's “Advance Directives on Life-Sustaining Treatment in Video” states:\u003c/p\u003e\n\u003cblockquote\u003e\n\u003cp\u003eAny adult who is at least 19 years old and has decision-making capacity can complete one.\u003c/p\u003e\n\u003c/blockquote\u003e\n\u003cp\u003eA person \u003cstrong\u003eat least 19 years old who has decision-making capacity\u003c/strong\u003e can complete one. Withholding or withdrawing life-sustaining treatment requires a medical determination that the patient is in the dying process. The legal procedure for confirming the patient's wishes must also be followed. Pain relief and the basic provision of nutrition, water, and oxygen are not subject to withdrawal. \u003ca href=\"https://www.lst.go.kr/addt/video.do\"\u003eNational Agency for Management of Life-Sustaining Treatment explanation of the system\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003eIf you are considering completing one, prepare in the following order.\u003c/p\u003e\n\u003col\u003e\n\u003cli\u003eCheck which registration organizations are designated by the Ministry of Health and Welfare and when you can visit.\u003c/li\u003e\n\u003cli\u003eBring identification to verify your identity.\u003c/li\u003e\n\u003cli\u003eListen to the explanation at the registration organization, make sure you understand it, and complete the document yourself.\u003c/li\u003e\n\u003cli\u003eConfirm that registration is complete.\u003c/li\u003e\n\u003c/ol\u003e\n\u003cp\u003eSimply filling out a form at home does not give it legal effect. You must complete and register it through a registration organization. You can change or withdraw it later if your wishes change. \u003ca href=\"https://www.lst.go.kr/addt/medicalintent.do\"\u003eNational Agency for Management of Life-Sustaining Treatment guide to advance directives on life-sustaining treatment\u003c/a\u003e\u003c/p\u003e\n","tags":["Exercise","Health Screening","Self Management","Healthy aging"],"faqs":[{"question":"If blood tests and an MRI are normal, is the pain psychological?","answer":"Normal test results alone do not mean the cause is psychological. Each test has limits on what it can detect. Symptoms and physical examination findings must be evaluated together."},{"question":"Can I have fibromyalgia even if my test results are normal?","answer":"It's possible, but fibromyalgia is not diagnosed based on normal test results alone. The pattern of pain, fatigue, sleep problems, and other factors are evaluated together. If necessary, other conditions that cause similar symptoms are also checked."},{"question":"Does somatic symptom disorder mean someone is faking illness?","answer":"No. People with somatic symptom disorder genuinely experience their symptoms. Excessive thoughts, feelings, and behaviors related to the symptoms are evaluated, and the disorder can occur alongside a physical illness."},{"question":"If a test result is outside the reference range, does that mean I have a disease?","answer":"A result outside the reference range alone does not confirm a diagnosis. The purpose of the test, symptoms, and previous results are considered together. Talk with your healthcare team about whether further testing is needed."},{"question":"What is the difference between a false positive and overdiagnosis?","answer":"A false positive is when a test is positive even though the person does not have the condition. Overdiagnosis is when a real abnormality is found, but a condition that would never cause health problems during the person's lifetime is diagnosed. They are different concepts."},{"question":"Are there times when I should seek medical care again right away even if my test results were normal?","answer":"If new warning signs appear, you should be evaluated based on your current condition. Persistent chest pain and shortness of breath, or sudden confusion, require immediate medical attention. Seek emergency evaluation if back pain is accompanied by new trouble urinating or reduced sensation in the perineum."},{"question":"Should I walk for a set amount of time every day even if I'm in pain?","answer":"The same exercise duration does not apply to everyone. Intensity is adjusted to the diagnosis and ability to be active. If symptoms worsen after exercise, discuss the plan again with your healthcare team."},{"question":"If anti-inflammatory painkillers don't work, are there no other treatment options?","answer":"That's not the case. The medications and treatments that help vary depending on the type of pain. For fibromyalgia, exercise, psychotherapy, and medication can be used together."},{"question":"Do I have to put up with arthritis and urinary incontinence as I get older?","answer":"Even if they become more common with age, they can be evaluated and managed. For osteoarthritis, symptoms and function can be managed with exercise, medication, and other approaches. You can also discuss treatment for urinary incontinence based on its type and cause."},{"question":"Does developing pneumonia or delirium mean death is near?","answer":"That alone cannot determine whether death is near. Pneumonia is treated according to its cause and severity. Delirium also requires prompt evaluation and treatment of its cause."},{"question":"If I write an advance directive on life-sustaining treatment, will I be unable to receive emergency treatment?","answer":"It is not a document that refuses all emergency treatment. In Korea, a medical determination that the patient is in the dying process and a procedure to confirm the patient's wishes are required. Life-sustaining treatment is withheld or withdrawn according to those requirements."},{"question":"Can I just complete an advance directive on life-sustaining treatment at home?","answer":"Simply filling out the form at home does not make it legally valid. You must receive an explanation at a designated registration agency and complete and register it in person. You can change your wishes or withdraw the directive after completing it."}],"sources":[{"url":"https://www.nice.org.uk/guidance/ng193/chapter/recommendations","title":"NICE NG193: Recommendations for assessing chronic pain and managing chronic primary pain","type":"source"},{"url":"https://www.niams.nih.gov/health-topics/fibromyalgia","title":"NIAMS: Fibromyalgia","type":"source"},{"url":"https://www.niams.nih.gov/health-topics/fibromyalgia/diagnosis-treatment-and-steps-to-take","title":"NIAMS: Fibromyalgia, Diagnosis, Treatment, and Steps to Take","type":"source"},{"url":"https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder","title":"American Psychiatric Association: What is Somatic Symptom Disorder?","type":"source"},{"url":"https://www.medlineplus.gov/lab-tests/how-to-understand-your-lab-results/","title":"MedlinePlus: How to Understand Your Lab Results","type":"source"},{"url":"https://www.cancer.gov/about-cancer/screening/patient-screening-overview-pdq","title":"NCI: Cancer Screening Overview","type":"source"},{"url":"https://www.nhs.uk/symptoms/chest-pain/","title":"NHS: Chest pain","type":"source"},{"url":"https://www.nhs.uk/conditions/back-pain/","title":"NHS: Back pain","type":"source"},{"url":"https://www.nice.org.uk/guidance/ng226/chapter/Recommendations","title":"NICE NG226: Recommendations for diagnosing and managing osteoarthritis","type":"source"},{"url":"https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/definition-facts","title":"NIDDK: Definition \u0026 Facts for Bladder Control Problems","type":"source"},{"url":"https://www.nhlbi.nih.gov/health/pneumonia/causes","title":"NHLBI: Pneumonia, Causes and Risk Factors","type":"source"},{"url":"https://www.nhlbi.nih.gov/health/pneumonia/treatment","title":"NHLBI: Pneumonia, Treatment","type":"source"},{"url":"https://www.nhs.uk/symptoms/confusion/","title":"NHS: Sudden confusion, delirium","type":"source"},{"url":"https://www.guysandstthomas.nhs.uk/health-information/delirium-sudden-confusion","title":"Guy's and St Thomas' NHS Foundation Trust: Delirium","type":"source"},{"url":"https://www.lst.go.kr/addt/video.do","title":"National Agency for Management of Life-Sustaining Treatment: A Video on Advance Directives on Life-Sustaining Treatment","type":"source"},{"url":"https://www.lst.go.kr/addt/medicalintent.do","title":"National Agency for Management of Life-Sustaining Treatment: What Is an Advance Directive on Life-Sustaining Treatment?","type":"source"}],"images":[{"id":1809,"url":"https://injoys.com/rails/active_storage/blobs/proxy/eyJfcmFpbHMiOnsiZGF0YSI6Mjc4NzUsInB1ciI6ImJsb2JfaWQifX0=--2827cd11ea4ed6104a066da9eed74b5d3c18527f/ai-e0366b02.webp","is_representative":true,"generation_method":"ai_photo","license":"ai_generated","mime_type":"image/webp","width":1536,"height":1024,"translations":{"ko":{"alt":"침대 가장자리에 앉아 한 손으로 몸을 지탱하고 다른 손으로 어깨를 짚은 중년 남성","caption":"검사 결과가 정상이더라도 통증을 꾀병으로 단정할 수는 없습니다.","description":null},"en":{"alt":"Middle-aged man sitting on the edge of a bed, bracing himself with one hand and holding his shoulder with the other","caption":"Normal test results do not mean the pain is not real.","description":null},"ja":{"alt":"ベッドの端に座り、片手で体を支えながらもう片方の手で肩を押さえる中年男性","caption":"検査結果が正常でも、痛みが実在しないとは言えません。","description":null},"es":{"alt":"Hombre de mediana edad sentado al borde de la cama, apoyado en una mano mientras se sujeta el hombro con la otra","caption":"Unos resultados normales no significan que el dolor no sea real.","description":null},"id":{"alt":"Pria paruh baya duduk di tepi tempat tidur, menopang tubuh dengan satu tangan dan memegang bahunya dengan tangan lain","caption":"Hasil pemeriksaan yang normal tidak berarti nyerinya tidak nyata.","description":null},"pt":{"alt":"Homem de meia-idade sentado à beira da cama, apoiando-se com uma mão e segurando o ombro com a outra","caption":"Resultados normais nos exames não significam que a dor não seja real.","description":null},"zh-hant":{"alt":"中年男子坐在床邊，一手撐著身體，另一手按著肩膀","caption":"檢查結果正常，不代表疼痛不是真實的。","description":null},"de":{"alt":"Mann mittleren Alters sitzt auf der Bettkante, stützt sich mit einer Hand ab und hält mit der anderen seine Schulter","caption":"Unauffällige Untersuchungsergebnisse bedeuten nicht, dass die Schmerzen nicht real sind.","description":null}}},{"id":1810,"url":"https://injoys.com/rails/active_storage/blobs/proxy/eyJfcmFpbHMiOnsiZGF0YSI6Mjc4ODEsInB1ciI6ImJsb2JfaWQifX0=--643af344cd1ada74ab71e5f2528f386294e15cbd/ai-4ed59546.webp","is_representative":false,"generation_method":"ai_semi","license":"ai_generated","mime_type":"image/webp","width":1536,"height":1024,"translations":{"ko":{"alt":"진찰대에 앉아 엉덩이 부위를 짚는 여성의 팔과 어깨 움직임을 의료진이 살피고 있다.","caption":"통증이 계속해 일상에 지장을 준다면 검사 결과가 정상이었어도 재진을 받아야 합니다.","description":null},"en":{"alt":"A clinician checks a seated woman's arm and shoulder movement as she rests a hand on her hip.","caption":"Pain that persists and disrupts daily life warrants reassessment, even after normal test results.","description":null},"ja":{"alt":"診察台に座って腰に手を当てる女性の腕と肩の動きを、医療者が確認している。","caption":"痛みが続いて日常生活に支障が出るなら、検査結果が正常でも再受診が必要です。","description":null},"es":{"alt":"Una médica examina el movimiento del brazo y el hombro de una mujer sentada que se toca la cadera.","caption":"Si el dolor persiste y afecta la vida diaria, conviene volver a consultar aunque las pruebas sean normales.","description":null},"id":{"alt":"Tenaga medis memeriksa gerak lengan dan bahu perempuan yang duduk sambil memegang pinggulnya.","caption":"Nyeri yang menetap dan mengganggu aktivitas sehari-hari perlu dievaluasi kembali meski hasil tes normal.","description":null},"pt":{"alt":"Uma profissional de saúde avalia o movimento do braço e ombro de uma mulher sentada com a mão no quadril.","caption":"Dor persistente que prejudica a rotina merece reavaliação, mesmo após exames normais.","description":null},"zh-hant":{"alt":"醫護人員檢查一名坐著、手扶髖部的女性的手臂與肩膀活動。","caption":"疼痛若持續影響日常生活，即使檢查結果正常，也應再次就醫評估。","description":null},"de":{"alt":"Eine Ärztin prüft die Arm- und Schulterbewegung einer sitzenden Frau, die eine Hand an die Hüfte legt.","caption":"Anhaltende Schmerzen, die den Alltag beeinträchtigen, sollten auch nach unauffälligen Tests erneut abgeklärt werden.","description":null}}}],"published_at":"2026-10-13T20:35:28+09:00","updated_at":"2026-10-13T20:35:28+09:00","license":"cc_by","translation_status":"reviewed","available_locales":["ko","en","ja","es"],"data_locales":["ko","en","ja","es","id","pt","zh-hant","de"],"url":"https://injoys.com/en/articles/normal-test-results-whole-body-pain-care-guide"}