hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As fibro-myal-gia is a condition where there is inflammation of the fibres of the muscles. A single muscle contains numerous muscle fibers and this muscle fibers act together to produce muscle contraction leading to movement of the muscle. As most cases in my clinical practice respond well to a combination of physical therapy , meditation and breathing exercises. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises Meditation - helps to reduce the anxiety and depression Breathing exercises - this helps to improve the blood carrying oxygen cells and reduce the metabolic waste formed. Regards Jay Indravadan Patel