Yesterday, I attended an appointment at Brigham and Womens Hospital, Center for Pain Management in Chestnut Hill, MA (just outside Boston). The young MD said she reviewed my MRI, asked lots of questions, poked and prodded the back of my neck. Ten years ago, I received radiation to my neck and for the past few years, the resulting fibrosis is becoming more and more severe. She told me she has seen many patients with post-radiation fibrosis and has several treatment options. Trigger-point injections are the least invasive and are a one visit option. If it works would be the preferred method. Botox is actually several steps down the list for some reason. I liked her very much, seemed informed, experienced and compassionate. Good luck to us all. --- Steve