It does not help us when you just say "symptoms" came back. The rule with these traumas is you treat each symptoms individually, not as a combination.

Some symptoms may have treatment that overlaps but they still need to be considered individually.

What changes have you made?

The symptoms this week are
1. tension in right cheek. Full sensation and movement. it just does not feel the same as on my left. This has been an on and off symptom for months.
2. Ache in fingers/hands
3. Ache in right foot last night which has stopped this morning. My ache in my hands is better today as well. Yesterday it felt like what I would guess arthritis feels like.

I can't think of major changes. Saturday night I had 3 glasses of wine for the first time in about two months. But most things are the same that I can think of. My diet and exercise level is pretty consistent. I did hot yoga last night around 5:30 which has seemed to help some of these symptoms in the past. Which MIGHT be why this is a little better today.

Sometimes the tension /weird feeling in my cheek itches. But not always. Right now it is particularly itchy

What you mention are more a nerve issue than PCS.
Have you tried phys therapy or gentle chiropractic ?
Soft tissue and many minor issues won't show up on imaging, But very good PT and DC can feel it..

Thanks Jomar and Mark. I love the idea of it being a neck soft tissue issue that imaging has missed. My neuros and general prqcticioneer doc keep saying the imaging were good so that not it. Im on the list for pt for my neck but I have to wait for april to get started. I may try to youtube some neck pt exercises to get started.

Avoid range of motion and focus on mild strengthening without strong movement. More important is sleep posture. When you sleep, your neck muscles relax and any poor posture puts strain on the neck.

Thanks you. The face tension is more face numbness feeling. But i can still feel everything it kist doesnt feel even. Almost like a what an allergic reaction feels like.

I wouldn't do Chiro if you have tingling in the hands that might be nerve impingement. You should monitor that symptom closely and go to a specialist if they gets worse. They can do a nerve conduction study. Best of luck