I have been in pain with fms for seven years with cfs. I also had emg and nct tests. I was diagnosed with carpal tunnel and it seemed to go away. The past 5 years my shoulders have been in pain and upper arms muscles on both arms and my wrist hurt, my hands have pins and needles and feet. My rheumy yesterday said, carpal tunnel can affect all the way up to your shoulders. Not one doctor ever said that while I have been in pain having cortisone inj, etc..thinking arthritis,...I am now referred for a 2nd opinion with a top neurologist at GWU in DC a Dr. Kelly. They are thinking I also could have periferal neurapathy due to the cold hurting my skin and burning and sometimes sweating. Are there any other women out there with severe shoulder @arm pain which turns out not to be fms or arthritis? Does anyone else have neuropathy? Please write back any treatment or meds that are helping. I'm on neurotin and topamax.