I am tired most of the time. It is either from a lack of quality sleep, or from never sleeping soundly due to pain. At times, it even hurts to turn over in bed. I would nap, but that further disrupts my already messed up sleep cycle. Fatigue doesn't predominate over pain, but it makes pain worse.
Pain control is difficult at best.
Many physicians know so little about FMS that they hesitate to prescribe adequate medication to control pain. Many people with FMS are seen as drug seeking, hypochondriacal, hysterical females who merely want an altered state of consciousness. I have been robbed of most of my energy. Exhaustion is common at least four days a week. It's been 12-15 years since I felt like I led a normal life.