I was given good news and bad news. The good news was that he said he can help me.
The bad news: In addition to fibromyalgia, I also have myofascial pain syndrome and bursitis. So he gave me 4 trigger point injections in my upper back and one in my right thigh. I knew things were getting bad but honestly I thought it was just a bad flare that I couldn't pull out of.
I have to do a lot of therapy, get a TENS unit and get the injections every 4 weeks. I have to slowly wean off the narcotics and other meds (he gave me other meds to help the transition). Some of my meds will be reduced doses, some I go off completely and I got a couple of new ones.
It is kind of overwhelming but I do kind of feel a little better about it today. I just need to (re)learn to have the right attitude and it'll be okay. It's so easy to fall into the "why me" thinking.
All in all, I really liked what he said and wants to do. I feel like this is the treatment I was looking for. I could have done without the MFS and bursitis but I can learn to accept that in time. It's just going to be a rough ride for a while.
Wish me luck!
Thanks for listening,
Kathy

It is nice to be able to talk it out, isn't it? I have fibro, and myofascial pain syndrome too. It makes me nervous about the med transition, but are you comfortable with the new medications? I am curious about the tens unit, and how to buy one, but also about your medication switches and how you are feeling? I hope you are feeling better, and did you feel the trigger point injections worked?

Thank you for your time,

Kass

Ah, good news! Some of your pain is due to myofascial pain syndrome, which is not dangerous and is actually easier to treat than fibro.

The best I can tell you is to learn to do trigger point work on yourself, there are books that teach it, or ask the physiatrist.

He put me on 12mcg Fentanyl patch. It is the lowest dose available and lunesta. I haven't sleep so good since I don't know when. My lyrica was lowered by 75mg. The trigger point injections worked wonderfully but Not 100%. Maybe he did a low dose since I was a first timer. I was taken off soma (slowly) and put on skelaxin. The physical therapy is wonderful, I start water therapy next week 2x a week and the TENS unit is awesome!. It is weird feeling, a little painful at first, even starting very low but I have increased it now and I like it. I don't have my own yet, I only get it a PT. The best part is that I am not doped anymore. No more drugged out feeling. My head is as clear as it can get with FM. I am still in a lot of pain and I can't walk much or my hip hurts really bad. I was also told to do a "posture-check" every so often to straighten my self out as I tend to slouch and shrug my shoulders when I hurt. I use the ringing phone at work-when the phone rings, posture check! I also can't cross my legs as it puts pressure on my hip. That is hard! One last thing, I have a purse/hadbag fetish but I was told no more big heavy bags. So I found a "wallet-on-a-strap''. Tiny with a very long stap to go across my shoulder but it is adorable!. I think it only adds to my obsession...

oh yeah, the patch really starts to wear off before the third day that I have to change it, That day is really rough.
So I am still having a lot of pain but I think this approach is really going to be beneficial.