Are your tender points always tender ... or do they vary in intensity? I notice that the knee area (even though I also have OA in them) is not always as tender. My chest is always tender but does vary in intensity of tenderness. Same with the elbow area and ankles. With my luck (actually lack of) I will not have 11 tender pts acting up on the day I see the Neuro (March 1). My DR sure was hitting them Feb. 6 & 20th. On the 20th she even commented that she was barely applying any pressure. My hips and buttocks ... oh my ... are always sore (for lack of a better discription). The PCP is not referring me to a Rheumy at this point so I am checking with my insurance to see if I have to be referred or if I can go to one on my own. In a city the size of the one I am in ... I am just amazed at the low number of Rheumy's here. They are also all clustered around OSU, and I hate driving down on campus. It is difficult for me to drive as it is. One of them does also have an eastside office so that is where I plan to go.