I am new to the board and would like to ask a question. I have had lower back pain for the last 15 years and have taken tramadol for most of that time. For the last several months I ahve been having a lot of pain in my shoulders and neck, sometimes it is so bad I dont want to move. My doctor thinks that I have Fibromyalgia. I also have pain in my knee and arms sometimes but nothing like my neck is now. He put me on Cymbalta and that is not working. I asked that we do an MRI to make sure I dont have a pinched nerve or something but he says insurance wont approve it unless I do Pyhsical therpay first????? Does this sound right to you guys. He is now taking me of the cymbalta and putting me on Lyrica.