I have severe pain in spine and lower back with history of fibromyalgia. Please help.

Hello,

Welcome to icliniq.com.

From your history and being unable to examine you I can only speculate on the cause. Yes, fibromyalgia can lead to trigger spots like tender areas which can be over the muscle belly or their attachment to the bone. The good thing was that the neurological exam was normal. Now coming to your concern that the shin and ankles had become painful. I will recommend that you get your ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), complete blood count (CBC), urine routine, Vitamin D levels, and blood sugar tested. This will generally show indications about any inflammatory process and bars on that you can be started on anti-inflammatory medication including steroids and possibly vitamin D too. Please let me know your investigation results.

Hello,

Welcome back to icliniq.com.

What made you think along the lines of your symptoms possibly being a manifestation of cancer? Are you overthinking this, (sorry but I cannot really answer that) but I can say that things are common and they need to be tested for and only after that I will really consider an alternative possibility. Are you losing weight? Do you have night sweats? Do you have an altered bowel habit? Is there any redness or swelling over the shin? Are you able to bear weight without the aggravation of pain? Does the pain keep you awake at night? If not then let us not worry about things unnecessarily. Bone tumors are a rare condition and yes the best way to diagnose will be a clinical exam followed by an x-ray. Shin pain is a common manifestation of vitamin D deficiency. I hope this helps.