Hi Alfred, have you tried acupuncture to try and relieve the inflammation, stress and muscle tightness? I know lots of folks do not believe in acupuncture, but I had a year of pain off and on. Had MRI, X-rays, chiropractic, massage and it was the acupuncture that has finally helped. You situation maybe different, but acupuncture can relieve inflammation & stress, tightness/muscle spasms. It may be worth looking in to. It has helped me alot. Blessings to you.