I have studied your case.Fibromyalgia
is a diagnosis by exclusion and mainly diagnosed by clinical examination.
Fibromyalgia can not be totally cured, you can only minimise symptoms by taking various medications. As you are resistant to amitryptiline and duloxetin I will advise you that you can start milnacipran
or Lyrica (pregabalin) consulting your treating doctor.
Exercises and stretches plays important role in maintaining symptoms of fibromyalgiaPhysiotherapy
like ultrasound and tens will help.
You may consult orthopaedic surgeon
or spine surgeon
for further management.
You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.