I have the same issues. I have found that lack of movement or more physical activity than typical makes the pain increase. I did physical therapy for nearly 2 years with no results. I go for monthly massage and Chiropractor as needed. The chiro seems to help the most when it is at its worst. I use tennis balls, foam rollers, a specific heating pad, etc at home. I was recently told that these are trigger points. I found this page as I was searching for information. Medical Dr just wanted to prescribe muscle relaxers which did nothing but make me sleep for 20 hours. Any other ideas would be appreciated!