Looking for any help anyone has on this topic. After a year of pain, cortizone shots, muscle relaxers and strong pain killers diagnosed in May with Myofascial Pain syndrome. I only had 9 of the 11 trigger points for Fibro diagnosis. Other symptoms lack of refreshing sleep, always tired, always aching (like the flu, but for 9 months long), sharp, sore and/or aching pain in neck and middle back. Physical Therapy helped some. Rheumatologist treatment when he first saw me: 1. For sleep 50 mg trazadone, and 300 mg. nuerontin, 2. 500 mg/twice a day Diflunisal (anti-inflammatory), 3. Paxil 20 mg/day (already on this for several years) 4. Ultram 50mg/3 times a day, with 500 mg Tylenol. 5. Myofascial release massage helps. 6. Vicoden 5/500 1/day (had been on Vicoden ES 7/750 twice a day) I changed my diet completely to a healthy diet, am getting sleep – nighttime meds help with that. Doing some walking and stretching. 6 months later Having what I thought was a flare up but it has been for 4 weeks now. Aches on and off, severe pain in neck and upper back, Doctor has moved me to 1200 mg nuerontin a day (not much help), run out of Vicoden have taken some old Vicoden ES half morning and night, and backs off pain a little Any suggestions to stop the pain and get better. I am getting a 2nd opinion from a large medical hospital in town. Appreciate any input on this.