@sir_buzzalot , I just opened Connect and your post was right there. Since I deal with some cognitive aka memory issues, I thought I should respond right away. My medical experiences somewhat parallel yours. Neck surgery and a reverse shoulder to try and alleviate some of the discomfort. Both did that somewhat well. I do want to ask if your neurologist has done a skin test for SFN, small fiber neuropathy. That was the test that led to my diagnosis and treatment plan. The pins, needles, tingling, are irritating to say the least. My choice for pain control has been and continues to be Medical cannabis. My neurologist and I have created an integrative approach. Part of that plan is a compounded topical to keep the pins and needles at bay for a bit. You can use them at night for ease in getting to sleep. I also use a cannabis topical during the day. And you never have to be in an altered state if you learn what products give you dosage control and you learn about their start and stop effectiveness time. Welcome, you have great resources here. If you want to get back to me, I am happy to share experiences with you. My journey is better with Connect. Chris