I used to suffer from stiff, swollen fingers and "trigger fingers" (http://orthoinfo.aaos.org/topic.cfm?topic=a00024 ) which would be relieved upon waking after a few hours. This stopped (as well as my fatigue lessening) once I started taking the sleep disorder medication Nuvigil.
I have very mild sleep apnea and my insurance would only pay for it if I was diagnose...that goodness I have a supportive doctor! I recently changed insurances and had to stop taking Nuvigil while my new insurance company waited a week for my new doctor to send in the approval...I finally walked into her office with the insurance company on my cellphone and handed it to the receptionist to get it done!
I noticed that, after about a week of not being on Nuvigil, my debilitating exhaustion was coming back as well as my trigger fingers and swelling.
I had my fingers checked 2 years ago for arthritis, but because there was no swelling of the joint, the rheumatologist didn't know what it was. Through my web research, I found out. Still don't know how trigger finger is caused due to fibromyalgia, but if you have been diagnosed with sleep apnea, narcolepsy, or work-shift sleep disorder, then your insurance will cover Nuvigil.
It also made all my fibromyalgia pain go away!!!!!! I can't say enough about the miracle medication View Thread