I'm in Indiana and the high temps with high humidity has my fibro pain at its worst. I use cold packs for my shoulder and neck pain and anywhere else it's worse. I've had both rotator cuffs operated on and a hip replacement and most recently tarsal tunnel release surgery that didn't work. I'm in more pain in that foot than I had before the surgery. Some days I can't deal with it but got to keep trying to move a little bit.