I am in such severe pain constantly. Pain medication does not work unless it is strong and I will not take that because I do not want to be out of it. Those kind of medications are just not an option in my book. I currently take topiramate but feel it really does not work. I would really appreciate any help or advice. My pain is primarily in my shoulders wrists hands and elbows. My knees and hips hurt but not as bad.My skin also has that achy feel constantly. I have been diagnosed with FM and I have tried many things. Thanks for your help.