The symptom described in the title is my most debilitating Fibromyalgia symptom. I makes a kind of sense that I would hurt the most where I use my body most. But this is really a problem! My finger tips are red and tender and hurt when I use them. Is this likely a central sensitization type problem or inflammation? It did seem that when I was trying some NSAIDS that it got better. But there were the side effects. I am on Lyrica which does help me. I am wary of increasing the dose because I don't want to get to the point where I've developed resistance or there no longer is a dose high enough to help me. Plus I think that when you are on Lyrica, you have developed a degree of "addiction". That is, you cannot just stop the drug without suffering tough side effects. My current dose of Lyrica is low, 150mg a day divided into two doses. What is a course of action that I might consider taking? I will, of course, review with my Rheumatologist before taking action. Why don't I ask my Dr. this question? Mostly it's time. Not enough time during the appointment.