hi sickofbeingsick. I was diagnosed with fibro 13 years before the lupus diagnosis. In one of my rheumy visits, i asked her if fms was progressive, because i was just feeling so much worse. She said, let's further test for lupus, and that is what led to the lupus diagnosis. Fms pain is horrible...i always have the burning/jabbing pain in my right chest, and the other pressure points come and go. it drives me crazy.....i take Dilaudid for pain. I can't take anything with anti-inflammatory med, so fortunately, she prescribes the really good stuff. I don't like to take Dilaudid very often, so mostly, i live with daily excrutiating pain. As you know, most of the pressure points are located accross the shoulders and up the neck...i get a lot of pain in the same areas. My rheumy gave me a Medrol injection (steroid), and used it as part of her diagnosis. She said lupus responds to this shot when other diseases don't. I found that interesting...you might want to ask your dr. about it.