hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have fibromyalgia - fibro-myal-gia is a condition where there is inflammation in the fibres of the muscles. The muscles contains numerous fibers and based on the contraction of the numerous muscle fibers the muscle performs the movement. Since there is inflammation there is also a pain in the muscles which later happens every now and then. Now muscle is connected to the nerve and also the skin. As the circuit is enclosed in a most complicated fashion transformation of the pain to the nerve , muscle fiber and the skin are vice versa. In my clinical practice patients with fibromyalgia will have not one but numerous issues. solving each queries slowly one by one helps them to come out of the painful like a provide a better functional life. We start slowly with a combination of 3 major therapies along with drug therapy. 1. meditation 2. physical therapy - ultrasound, TENS and exercises 3. Breathing exercises now this combination along with drug therapy works in a uniform pattern. Like meditation help to avoid anxiety & aggression, Physical therapy - like therapeutic ultrasound therapy, TENS therapy and exercises helps to reduce - pain , inflammation and metabolic waste. The last is about respiration - having good Oxygen content in blood will help improve the metabolism and immune system. Majority of cases seen by this methods in my clinical practice have provided better results. Regards Jay Indravadan Patel