I highly recommend Dr. dean Donahue in Boston for his specialized CT scan and botox in the pec minor and anterior scalene. You are not that far away, it was more than worth it for me.

Sleep on your back, not your stomach. Your not really sleeping anyway....if you can figure luna safe way to do it, consider tying you arms down so you can lift them above your shoulders at night. Also you could consider elevating the entire head of your bed, doing wall push ups, deep tissue massage, and heating pads on scalenes.

Pentrix cream OTC, lidocaine patches, neurotin, skelaxin, Flexeril all helped me a lot as well.