Can you get in to see a pain mgmt. doc? He could do trigger point injections. It may be a good idea to check in with a neuro about the headaches. Generaly with fibro you hurt ALL over, some say like flu, others say an 18 wheeler got them. For me, it's about school bus size. As for meds, 20 mg Cymbalta is low, I can't stay awake on it. It is frustrating, we each have our own mix that works. It's a lot of try this, nope, try that. Vitamin D3 seems to help, have doc order a blood draw for that. Hope this helps some.