Hmm. Doesn't sound like he works with many fibro patients. Did you have positive reactions to the trigger points? In my vast experience of my doctor and the four that a friend went to they all prescribed Elavil and an anti-inflammatory on the first visit. I was already taking two different anti-depressants, but my rheumy made me try the Elavil anyway. It is the only anti-depressant, that I have seen anything on anyway, that has been successful in treating fibro. It didn't do anything for me and I have tried 4 different anti-inflammatories with limited success. Any other docs in town where you can get a second opinion?Paige