Hello @cocodab, thank you for your private message. I thought I would answer your private message in this discussion on Myofascial Release Therapy (MFR) because I believe it may be something you have not thought about and it may help relieve some of your pain. I wasn't quite sure of your question in the private message but I thought you were trying to figure out which approach to take of 2 choices. Please forgive me if I misread your message.

1. Trying cryogenic to cool down so you are not so anxious at night. They list a whole lot of positives. One negative is the price for 3 minutes. I am not familiar with cryogenic therapy - do you have a clinic name or website link?
2. Trying to go off of medications but not knowing how to do it and how to know which ones are working and which ones don't help. I think this is a discussion you really need to have with your doctor or pharmacist to see if there may be drug interactions. I'm not sure any members can answer this one.

In your profile you mentioned you have adult erb's palsy resulting from nerve damage and neuropathy. Did you have an injury that caused the nerve damage? If you read the description of this discussion and watch the video describing the treatment I think it may be something that can help you. Here's the link to the top of this discussion - https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/.