hi, thank-you for providing the brief history of you. A thorough clinical assessment is advised. As you have been diagnosed with fibromyalgia, this condition has the pain up and down due to the inflammation of the fibres of the muscle. A muscle contains numerous fibers and inflammation in the fibers lead to pain. Also the fatigue is the early occurance due to rapid metabolism and also the spasm and cramp is the end result. in my clinical practice such cases are recommended with physical therapy, meditation and breathing exercises. Physical therapy - Therapeutic ultrasound therapy and TENS therapy will help reduce pain and inflammation. Also exercises will help regain the strength and improve the metabolism and endurance of the muscle. Meditation will help reduce the anxiety and also help in Performing well during exercises. Breathing exercises will help improve the oxygen carry blood capacity by tissues and there by helps reduce the inflammation. As the metabolism is slower in patients with fibromyalgia, having breathing exercises, meditation and exercise does play a big role in overall help of the condition. Regards Jay Indravadan Patel