@ksdm I was going to ask you if you were doing any exercises because sitting in a recliner with a heating pad won’t get you better. I suggest PT again and have you received a home exercise program you can do daily or twice a day? I’ve got the same issue almost but mine occurs when I do anything with my upper body and arms. Cooking or reaching up really sets it off. I use exercise bands for my upper back and Theraband from PT as well. I can tone it down but it’s the result of my scoliosis curve and twisting of my spine. I take meds when I need them.