the Neurontin helps me, I take 200mg 2x to 3x a day. The scalene stretches are good, I am not sure if I would do the shoulder shrugs. Before my first surgery, I was doing shrugs and it seemed to aggravate everything. When I flare up, I find I have to sleep in an elevated position. Also if you have a large foam roller, lay on the roller with the roller on spine, this helps open the shoulders. These are just things that help me.