The Placebo Effect?

SO I am not feeling so great, today.   Is it lack of sleep?  Is it the placebo effect and this "natural pain reliever" isn't really working?  I don't know.  I know I'm tired but can't sleep.  I know I'm sick of being in pain....and when I described my previous pain as a 10, you may ask, "How can she say its a 10?"  Let's just say I have a documented high pain threshold.  I fractured my shoulder and tore my rotator cuff, yet waited 3 months to find this out because I was certain whatever I did would get better.  Ugh.  Multiple Sclerosis, I hate you.