I just joined today and found this thread. This is my exact problem. I'm only in my late 50s but have been dealing with this for years. Most recently, my spasms occur every 4 months. I started PT and have been faithful with my home program. I haven't had a flair for 10 months. I thought I saw on the right track. I saw a neuromuscular physician. I find my triggers are anything overhead. I'm in a flare right now. I do heat, ice, rest, pain patches, muscle relaxers, gabapentin and Tylenol. He prescribed a steroid. Nothing helps! I'm at my wit's end. I want my quality of life back. I love to garden but that triggers a flare.