Hi (((KRIS)))) I have to have physical therapy 3x week just to try and maintain ... so my muscles DON'T atrophy, and so the "knots' in the muscles can be worked out. I am unable to stretch myself adequately enough to prevent all this. I have spinal stenosis, and a lesion. NO SURGERIES! (No till the doctors have it "right" imo) My chronic neuropathic myofascial pain, along with neuropathy keep the crazy nerves from sending correct messages, so that adds to the muscle spasming.

Physical therapy, including manipulation, heat, ice, meditation... CBT... a good pain/stress mgmt psychologist..... have you tried a TENS unit? I also use Lidoderm patches, but can't use them as much as you do. Limit certain types of physical activity, wear shoes your PT says are balanced, walk evenly (no limping) even if DIRT SLOWLY.... no sitting without a back to the chair, keep stomach muscles tight... etc etc etc...

I found HEAT helps the muscles, ICE helps the nerves. I keep my A/C COLD, but take hot water showers to help relax the muscles. (MY nerves will get over it.) ICE MASSAGES of my low back and shoulders... wherever spasms/nerve pain. hit highs.. numb it and gives a few minutes of acceptable relief (through the tears) when in flare.

You might also be experiencing "rebound" pain... and also, some pain can be FROM the use of some of those meds. It's a tough road. (((hugs)))