Hi - just found this site today and need all the help and advice I can get!! Diagnosed about a year ago with fibromyalgia after complaining to my rheumotologist that I was always so tired, had continous headache, and some days could barely lift my legs. He put me on Effexor XR - was already on Vioox - and told me to keep active. Then about a year ago, I had a total hysterectomy, and 6 months ago had bilateral partial knee replacements and I am going downhill ever since.! I can't fall asleep or stay asleep, not that it matters how much I sleep because I'm never rested - have continual headache, extreme pain in my shoulders and neck, sometimes my chest aches and feels sooo tight, sometimes I get sharp pains down both arms, have some tingling in my hands and a general weakness in my arms ( feels like they just flop and are hard to control) and now I get weird black spots in my eyes - they usually go away but are a nuisance!! Ok - so this past week I visited the dr. - only saw the nurse practioneer who changed my meds - dc'd the Effexor and put me on Amitripline at bedtime and put me on a muscle relaxer 3x day called Skelaxin and told me that the best thing I could do is exercise and keep active. I hate to complain but this whole thing is really getting to me - how do you exercise when you are so tired you can hardly move? What am I doing wrong and what should I do next? What do I need to ask or TELL the doctor to get more help? Here it is Christmas and I usually have all my shopping done, tons of cookies made, and outside decorations up - and that was when I was working 50 hours a week - now I'm home, broke, and getting none of it done! Please - any advice would be greatly appreciated!!