Greetings, This is my first time here and I certainly am glad you're here! I can't decipher the icons yet (help please?) Anyhow... Underneath my (newly dignosed May 2002) FM symptoms I have lumbar/cervical arthritis and patello femoral syndrome; PF syndrome dx 13 years ago and arthritis (osteo) dx 4 years ago. Those in and of themselves are very painful and the PF (R and L knee areas) really places me in a "catch 22" for range of motion and pain!! NOW I've gotten right jaw pain, wrist tendonitis type pain, and my ankles/feet give out with or without pain, especially when I get to the bottom of a stairs which I already have trouble with cuz of my knees. I feel so clumsy. My new doctor is referring me back to the Rheumatologist that dx me with PF syndrome and FMS. I can't imagine what he'll say to me now. My PCP is fairly knowledgeable about FM and a very kind person. Her theory is the one about serotonin problems. I've tried so many anti-dep's and some sleep aids but nothing works real well. She wants me to try Paxil since Zoloft worked fairly well for me but only for three months. Input, comments will be much appreciated on any of this message's contents. Thank you!