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

### input:
What are the early signs of Fibro myalgia? I have had sore necks and back since I was a teenager including mild joint pain since I was in my late 20s(I am now 48). My sister has suffered from fibro for years and I never considered it could be the cause of my pain. I have tried physio and had a really good chiropractor for years, but it never seems to fully recover and I go through bad bouts of neck or lower back pain. I also have an extremely bad memory and do get brain fog. The worst thing of all is I get cronic restless leg syndrome and need to exercise my legs on average about 3 times a night when it is mild, up to 7 times if going through a bad patch...( wondering if just lack of sleep is adding to brain fog?) I have always been a healthy eater and exercised (walking as running hurts my back). I also suffer from its seems like a tender or hyposenstive stomach. I went on a gluten free diet 4 years ago and this has helped, but lately (and it seems when my back is really sore), I get nausea at night and in the mornings...can a sore back lead to nausea as these seem to go hand in hand lately. Thank you for your time

### output:

You must consult a neurologist also for restless leg syn Chat Doctor. Fibromyalgia usually doesn't manifest as joint pains, but mostly aches and pains in soft tissues in various body places. You may try pregabalin and methycobalamin tabs and amitriptyline after consulting a rheumatologists may be prescribed if rheumatologist rules out other forms of arthritis and just in case fibromyalgia is a cause. A arthritis profile blood test may be advised Best wishes