It has been a terrible few days. Small little storm systems coming in and out. I have so much joint pain and osteo arthritis knee pain. (I've had 32 years of OA already and putting off a TKR as long as possible.) Even my less seriously damaged OA joints are raging too. I haven't been able to sleep much in the past four days. It really starting to get to me. I am living with my heating pad and warm baths. I'm taking vicodin and it is not touching the pain. If I take more that one pill a day I can't sleep at night. I have been trying to tough it out and only take one a day. That leaves me in pain and not able to sleep anyway. I feel like saying screw it and taking more than one a day. I figure I'm not sleeping anyway. I felt like crying last night I was so miserable. ARGH! Without the sleep my Fibromyalgia and Chronic Fatigue are really raising their terrible little heads. I am starting a major flare. Overwhelming fatigue, horrible unrelenting muscle pain, and agonizing joint pain... Basically, I am a mess. I have two questions: 1) I am not sure what pain is OA and what is joint pain from my CFS/FM. I know my knees and hips are OA because I have had pain there before my CFS/FM developed. Now many more joints seemed to have pain. How do we tell the difference between CFS/FM joint pain and Arthritis? 2) Any suggestions on helping me cope with the pain of winter this year?