Just saw a pain management doc who said my MRI "looks great" and thinks trigger point injections might due to the trick to break up the spasms and give the area time to heal, if that doesn't work he'd consider Botox to loosen the very tight muscles......says there are lots of options but its definitely not a surgical case, which I knew but was nice to hear straight from an MDs mouth. Looking forward to my injections next week- steroids won't be used.