I refuse to take gabapentin due to reported neurological side effects and my family history of alzheimers. Taking Lyrica but not sure it's helping. Fascial Counterstrain seems to work well on my general odd pains, but often need dry needling to calm muscle tension. My therapist uses many manual techniques: https://burkhardtpt.com/techniques/#1558470503786-b0f0d435-f4ca