### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I am 45 yr. female. Was diagnosed almost 3 years ago with Rocky Mt. Spotted Fever, Lyme Disease. Since then, I have been diagnosed with Fibromyalgia, as I literally have extreme pain from top of head to bottom of feet..unable to sit for more than 10 min. Pain goes from 3-9 depending on day/time. My PCP has me on 15 mg. oxycodone 4 times a day and a muscle relaxer. I do not take the whole 15 mg. pill at one time, as I have to break them in half so that I can have almost a continuous relief from pain. My pain is VERY extensive. I have a disabled husband and son and a 15 year old..and I am the only one that can drive to get groceries, etc. My pcp is forcing me to go to pain management, which when I went about a year ago, was a horrible experience, and I feel that my pcp should be able to take care of my needs..i asked her why she is insisting me to go to pain management and she won t give me an honest answer. Apparently it s for liability reasons. I have never used drugs nor ever had a bad urine test. I don t know what to do at this point?? My family relies on me..and yes, I have tried physical therapy. There is a new self-pay pain clinic in area, but I don t want to be accused of doctor shopping ..Please help.

### output:

HiT hanks for posting on ChatDoctorThe pain you describe may not be caused by Lyme disease as you were treated for this condition 3 years ago. Even though Post-treatment Lyme Disease Syn Chat Doctor. Fibromyalgia may explain your pain. As time passes, fibromyalgia becomes very painful and disturbing as people with this condition are known to be too sensitive to stimuli including pain as the illness evolves. Treatment options for this condition may include: different lines of pain medications(like normal pain 