@rick53 Are you accustomed to keeping pain journals ? I have them for my knee , my back, my stenosis in neck (!!!) all through the years - ha ! It's good to know how to describe the pain and the intensity. I've been tracking my PMR pain in shoulders /neck/hips . and i have a separate column where i mention headaches. But unlike you , I,m only having them intermittently. Hope this will get better for you .