Hope you can find someone. I lucked up with finding mine. My primary referred me.

Ask about dry needling. It’s different from Botox, but was very effective for issues I’ve had over last couple of years. However, the back muscle knot that I got years ago, never got any dry needling. Not sure why, Anyway, it was resistant to everything. It laughed at things like heat, gel, muscle relaxers or Tens unit stimulation. It was on a whole other level. I think that’s one of the issues is that it’s beyond stubborn. I often wanted to carve out with an apple corer. Lol Just kidding, but that’s how I described the pain. Hope that a tenacious PT person can fiercely address it.

I was in my mid 40s when I got mine, and had been active.

On the upside, one day it left suddenly and has not returned. I’m now active, flexible and so far, don’t suffer with back muscle issues. I had one incident last year (not like the old muscle issue) when I first started working out at the gym, but it was limited and the PT person resolved it.

Best of luck!