I have FM, Hashimotos, and possibly CFS, (the lab test they ran indicated it) and I have a severe herniated disc in my low back. I started Physical Therapy and have explained that I do have back pain, but the worst pain is pain in my posterior hip, my butt cheek to be exact, that is painful when I sit, stand, lay etc. Most of the focus has been on the back, the heat, massage, and PT. My hip pain got better, but returned, so they focused the massage over the hip, and then they found a spot that was extremely tender, and they worked on that. The therapist said I had a “myofacial response” to the massage meaning there was some redness indicating irritation or inflammation of the muscle in there. I initially thought it was from the FM--- not the disc and she said no. Then I thought about it and still thinking about how this all works. FM pain is not from inflammation or irritation, correct? This is why anti-inflammatory and typical pain meds don’t work for FM pain? IFM pain responds to touch/pressure, because of a misfire of signals, not because of pain caused by inflammation or injury? Myofacial syndrome, MPS, which I believe now is called a disease, is different. FM and MPS can overlap, and its suspected MPS can lead to FM. The pain in the hip is extreme tenderness and it feels like a knot. In the past, I had severe rib/chest pain that I could not breathe without pain. All x-rays and test were normal. A massage therapist found a spot in my rib area that was very ropey and tender, and worked on this, and it took weeks but the pain went away. I also have tender spots below both armpits, and one in my right shoulder. These spots are not the FM spots they use for diagnosis. This is where I am getting very confused. Are these areas MPS areas? If so, maybe the hip at least can be treated with trigger point injection. That would give me enough relief to exercise better. Also, I believe the physical therapy is supposed to be used with some sort of spray technique? Of course I have my long laundry list of areas, but this hip thing is what is slowing me down the most. Since so many of these conditions overlap and coincide, how do you get the right treatment?