For the last week or so my hands and feet have really hurt. I keep thinking it has to be arthritis. I'll be walking along and feel an electifying stab in a foot that stops me in my tracks. I do feel a change in my system and it's my second winter as I was diagnosed in Dec of 07. Last night I had this tremendous stabbing in my right jaw into the upper and lower teeth as well as into my ear. It really felt like the whole side of my head. I simply grabbed it and waited for it to pass, but it's like the pain I feel in any place at any time. I think my hands and feet suffer because I over use them... typing, writing, phones etc. most of the day. I too take cymbalta and tremodol. It doesn't really help, but I do wonder what I'd be like if I wasn't taking anything I did have better days at work when I'd take half of my clanazopam, a tremadol each morning, but the muscle relaxer made me so tired and slow. Oh... is your fog worse also? Oh my gosh! I can't find the glasses on my face, the safeway I have gone to for years or the patient chart in front of me. It really scares me! That and the pain... it's awful.