Mark,
I'm sorry to hear about your difficulties. If the facet injections gave you relief why would you not consider radio frequency ablation as the next step?
For what it's worth I went thru a tremendous amount of muscle spasms and pain with in the scalenes, SCM, Rhomboids and Levator that seem to have manifested after my 2nd PT for shoulder surgery (I had shoulder surgery, then 4 weeks later had (2) ADR's, 2 weeks after ADR started PT for shoulder). The Spasms also created Trigger points.
I was also told about forward posture, shortened muscles etc.. being my problem. I exercised and stretched diligently and have got everything fixed except for the Levator which feels more like atrophy than Spasm. I had an RFL 2 days ago at C3,4,5 we'll see how that works for the Levator
I would more than gladly share my details and experience with you if you think it may help you.
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