the pains in my arms seem to emanate from my wrist joints, elbows and shoulders, together with muscle pain. I have only just changed doctors surgeries and am due for a "first visit once-over" on Thursday, but I am concerned that this pain is nothing to do with my COPD and am a bit loath to mention it in case they think they have a hypercondriac (spelling!!) on their hands. Do these symptoms seem familiar with anyone else. I haven't managed to get more than 4 hours max sleep per night for the past month.