What Causes Fatigue Along With Pain In The Bones?

Recently am experiencing general weakness and fatigue with ache in bones, most prominent in the left wrist which started about 6 weeks ago. Had it xrayed and no fractures were noted. I am 63 year old female with confirmed fibromyalgia, diet controlled diabetes type 2, 10 years post thyroidectomy for cancer, arthritis,(mostly in knees). Recently started on Losartin 50 mg for blood pressure Other medications include Levothyroxine .112 Celexa 40 mg, Trazadone 150mg and Pravastatin 20 mg daily. I take the Celexa and Trazadone at night for Fibromyalgia, to help sleep and with the pain caused by this disease (have taken this combination for more than 10 years) Any suggestions for the next step? The pain in the wrist has become somewhat dibilitating as i use my hands to perform the part time job as well as other household tasks and the pain makes me cry it is so severe when accidentally picking up something or using the wrist without thinking