Hello & Welcome Mary,
Were you doing well for the whole 19 yrs? Did you still do any PT or be cautious with use during that time?
I'm wondering if maybe scar tissue might have slowly grown in and that is causing the symptoms to show again?
What kind of work do you do?

Sorry I like to ask questions LOL

Only a few that post here regularly are still working.

We do have some polls in our useful sticky threads, that might be of interest.
http://neurotalk.psychcentral.com/thread84.html
posts # 17 & 18 , many of the other posts there have good info too.


Many of us have had spread of what we think are related issues.
shoulder, neck, low back, hip muscular or myofascial type pains- for me I think it is a myofascial spread

If the postural aspects are a factor - head forward, shoulders hunched or forward, or rounded, uneven?
That has to be addressed as it all contributes to crowding/closing the area where the blood & nerves run, and that could be causing some of your symptoms now.