I'm having a hard time falling asleep and staying asleep. is this because of the ms or fibromyalgia , or something else??

See your PCP: Sleep problems can be caused by various factors not necessary MS or FM. See your PCP for proper diagnosis, tests and treatment or referral to a sleep specialist for sleep study.

Worth looking into: There is a strong association between lack of REM sleep and fibromyalgia. Some sleep aids and chloride channel drugs in general tend to disrupt normal REM sleep and promote fibromyalgia. Its worth having a good general medical exam first. Review and practice good sleep hygiene. Treat pain with medications that promote REM sleep (Lyrica (pregabalin) and Pamelor). See a sleep specialist if needed.

Comments: Fibromyalgia can certainly be associated with sleep disorder, but MS also can have sleep co-morbidities. Yet, anxiety and depression may affect sleep, as well as numerous medications, drugs, and alcohol.

Chronic pain: 52 yo female w. fibromyalgia (FM) bemoans difficulty sleeping. Chronic pain of FM oft incited by lying down; pelvic & shoulder girdles torque as they meet ground forces of sleep surface. Soft mattress best. Need to increase general muscle tone via aquatherapy, yoga, tai chi. Medicinal cannabis (indica) has analgesic, relaxing & sleep promoting effects & improves restorative sleep in many w. FM.