<s>[INST] I have been diagnosed with fibromyalgia and have also been tested positive for sclerodema .I was going to a local clinic .After 8 yrs they informed me that they could no longer treat me and there was nothng they can do for me . I recently changed physicians and again he ran several tests and the diagnosis hasn t changed .I spend all of my time in pain and don t know what to do or take to help me function .I was reffered to a RA Dr and have to wait several months to see .My question is .Is there a healthy outcome with my condition I cant get a straight answer. Thank you [/INST] hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised..As mentioned by you, that you are suffering from fibromyalgia, and tried all possible ways to get rid of pain. I will advice you to undergo physical therapy.As fibromyalgia is a condition where the pain is in the fibers of the muscle. The medicine can help symptomatic relief but the physiological is totally different to understand of fibromyalgia.Also, with physical therapy you will get benefitted and the inflammation of the muscle fiber will be reduced. The therapist will use therapeutic ultrasound therapy and TENS therapy for reducing inflammation and pain. Later, exercises will be taught to imporve the strength and endurance. Also, Breathing exercises and meditation helps further to improve the oxygen carrying blood cells which acts as the fuel to the muscle fiber which reduces the pain and also meditation will help imporve to control the mind.in my clinical practice I have been dealing with fibromyalgia cases. they respond well with a combination of medicine and physical therapy.regardsJay Indravadan Patel </s>