I've tried many meds & combo's --too many to list or recall--
that either didn't help , adverse effects , allergic reactions.
some muscle relaxants & pain meds help but as previous expressed, tolerance is issue & relief is limited
My neuro had been doing nerve blocks for years, which did help but duration varied--from few weeks to few days...

2 yrs ago he suggested BOTOX -- felt duration relief would be much better than blocks.
took year to get approved
in January i finally got to try and it was promising.

2 months later i went back for f/u appt, thinking-hoping I'd be getting more Botox.
for some reason, got "denied"
few months ago got call it was again approved. I've been waiting for DR to get drug, which seems to be scarce, but got call its in & appt scheduled.
so in Dec. i will again try Botox.

I"ve heard, read that
some do well w/ few treatmts, others need to go every 2-3 months for 'maintainence" -- and some others say it helped first few times then just didn't seem to work anymore.

it is expensive, and only few 'approved' conditions which insurance covers.
even then co-pays can be high.

this may be an option or worth checking into
will update on my experiences
My neuro feels it will also help Migraines, which for me are the worst & most debilitating aspect


best wishes-- hope you all soon find help, relief......