<s>[INST] Hello doctor, I am a 41-year-old male. My blood and urine tests are normal. However, I am experiencing tender muscles all over the body. Both in legs, feet, and arms and wrist. I have tried various treatment to treat each one of the individual issues like physical therapy, chiropractic, massage, etc. However, I am concerned that there might be an overall systemic issue. This has been going on and off for the last 10 years. It is primarily a muscle tenderness and pain issue. I have sensitive spots all over the arms and legs. More recently I have joint pain as well (some in knee and thumb, however, this is only for the last year). However, the muscle tenderness has been around longer. I have moderate anxiety (OCD) and mild sadness or depression as well. I also have dust allergies. I had a consultation with a Rheumatologist here and we suspected that it might be fibromyalgia. [/INST] Hi. I have gone through your reports (attachment removed to protect patient identity) and found nothing significant. First of all, you need to understand that if any small pain exists in our body for more than three months, then there is also an involvement of psychological factors which reduces our threshold of pain. You need to answer a few of my questions so that I can help you better. What do you do for your daily living? How much physical activity is there in your daily life? How many family members you have in your family? How is your threshold of irritability? </s>