hi again, and thank you for the additional responses.

Dmom: my physical therapist focused on myofascial release to deal with muscle spams i had in my neck and at the base of my skull. she did work in my upper back as well.

chokato: i drink a TON of water and have been checked now for anemia and B12-related anemia with normal results. there has been mention of migraine, but the duration of my episodes extends beyond what they would normally expect with that diagnosis.

i just don't know what in the world is going on and it's so incredibly difficult to manage life in the midst of all this illness and uncertainty.

thanks for "listening'.