<s>[INST] Hi I am a 44 year old woman who have been suffering with fibromalaga for 22 year and now I have a lot of pain in my shoulder which I can not move when I walk. I have a tremor in my left pinkie when I rest and now in my thumb also. Do you think I should see a neroliagest ? My father and my grandmother both have parkinsons [/INST] Hello, Fibromyalgia does cause pain in the neck, shoulders or back. Your treating doctor may give you muscle relaxants, cyclobenzaprine to help promote sleep. You may be prescribed Duloxetine (Cymbalta). However, you are suggested to see a GP & get examined, assessed & treated for fibromyalgia. Neglect often results in complications leading to nerve damage or peripheral neuropathy. Medications along with patient education, stress reduction, exercise & healthy lifestyle effectively help fibromyalgia patients. If you are having a tremor in the fingers you should visit a neurologist, get Nerve function tests, Nerve biopsy & EEG, etc done, get treated at the earliest. Take vitamin B6, B12, Folic acid & mineral supplements. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician </s>