###Human: I have severe pain in spine and lower back with history of fibromyalgia. Please help. ###Assistant: Hello. 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 on 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 indication about any inflammatory process and bars on that you can be started on antiinflammatory medication including steroids and possibly vitamin D too. Please let me know your investigation results.