I am a 22 year old female with widespread pain. It is mostly in joint areas like knees, ankles, fingers, shoulders, lower and upper back. At night my arms really bother me. I have been unable to sleep well. I also suffer from depression and take celexa 20mg daily, and I have several bulging disks in back and I take ultrums for this. I often have muscle spasms like charlie horses that last 10-15 minutes about every night. I also have tightening of the muscle in the palm of my hand. Any ideas of what this may be would be much appreciated.