[brakedw]

Difficult diagnosis it typically involves ruling out other possible diagnosis while ruling in typical criteria for fibromyalgia (point tenderness on several body parts) Depression is a frequent companion to fibromyalgia as well. It can take months to years to get to the diagnosis but that being said the treatments are straight forward and the following rules apply
1) do not treat with narcotics it can make acute pain spells worse,
2) screen for and treat depression if needed
3) the best outcome is 50% reduction in pain with medications so lifestyle modification, relaxation techniques are vital
4) medications to treat include, Savella, cymbalta, trammadol, neurontin, lyrica.
you must find a dotor familiar with this and knows the basic treatment