For almost a year now I have constant muscle and joint pain bilaterally from ankles to wrists, deep muscle pain in thighs and at least three episodes of muscle cramps in my right lower leg at night per month. I am fatigued, trouble sleeping, and my joint pain is at its worst after period of rest. I also have skin changes in both my anticubital area, axilla and posterior upper thighs. I am set to see a rheumatologist in two months.