Hi. Thank you for responding. To answer your questions:

I live in the Raleigh/Durham area in NC and have private insurance.

I saw a neurologist in August of 2017. He did the nerve testing on both arms and legs which were normal. I've seen the orthopedic surgeon who performed my surgery in Dec 2018 for calcific bursitis. I am currently seeing a PT to restore strength/range of motion post surgery, but he has given notes and feedback to my doctor that what he's observed is not typical of someone who had the surgery I did.

Medications:
Ibuprofen 800mg - very minor if any effect on pain
Naproxen - no effect
Otc tylenol - no effect
Skelaxin - no effect
Norco - most helpful for pain relief but takes long to work, lasts only a few hrs, and doesn't fully eliminate pain
Hot showers work the best during an attack/episode, but pain returns afterward. Ice actually seems to make it more painful. Fully laying my arm on a surface and squatting to move it away from my body feels better as well. I've tried biofreeze, essential oils like wintergreen and peppermint. My PT would like to start TENS soon. Today, he tried massage which felt better. When he was moving my arm for passive exercises, my hand was shaking and I got pretty strong muscle spasms in my triceps.

I don't have any numbness. I do get some tingling in my hands but very infrequently. I mostly have pain.

My PT thinks I have nerve problems as well, but I don't understand the sudden cause or why it's so constant and excruciating. I dread going back to work on Monday.