<s>[INST] I was diagnosed with fibro 1997, confirmed at in 2005 again NWH Chicago. I can not take Lyrica as i get a lock jaw and the words just wont roll off my tongue. I had have a sore right arm since about a month ago. I am currently taking 50 mg Tramadol which does not do much good. Gabapentin and and flexoral. when can i take to reveal my pain. Thanks of up you can help. Any pictures Tany ana [/INST] Hello, As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>