Ok, I didn't tell my story yet- but in case it helps anyone else out, I will. I've had unexplained muscle pain for 9 years now. It started when I was in my early 20s and getting married, under a lot of stress at the time with teaching and the wedding. It started as neck pain that took a few months to go away, then came back, etc, until it eventually became chronic. Some days it was so bad I'd cry when my daughter asked to be picked up. With each pregnancy, I developed very bad hip pain. It didn't go away after birth, and I ended up going to two orthos and getting steroid shots for what I was told was piriformis syndrome (tendonitis in my hips). Meanwhile, neck and shoulder pain is always bad, been through pcps, massages, the two orthos, 3 chiropractors, acupuncture. I was never diagnosed CFS or fibromyalgia as I still retain a fairly normal life but I was headed in that direction. Over the past year or two other parts of me had started getting muscle knots, too, until it was myofascial pain syndrome. No one ever had an answer for me.
Last year I finally found a LLD who knows functional medicine. I told him about the pain, and secondarily about the inability to lose weight despite diet/exercise. In the first hour of meeting me he pinpointed it. He wrote down my entire timeline of pain. Then he ran through questions. No lead paint, no tick bites, etc. He then asked if I had ever been exposed to mold. Um, yes, actually, I worked in a really moldy classroom- it was awful. The smell was overwhelming and I had allergies, sinus infections, and eventually sinus surgery. Apparently they had steam cleaned the carpets during the summer and left the room closed up- when they came back in they found an inch of fuzz growing out of the carpet. And how did they clean it up? They just vacuumed it. My symptoms were so bad I actually forced them to replace the carpet (oh the poor children sleeping on it!). Then he asked when was this? And my jaw dropped. It was the school year leading up to my wedding that spring.
It was right then he told me all about Shoemaker and Brewer. I had never made the connection, and I know I never would have. I didn't correlate the year of sinus and allergy hell to 9 years of following muscle pain and tension. And now actually I realize that my poor memory and the fact hat I get dizzy easily, and sometimes have ringing in my ears might all more than just "mommy brain". But there it was- in black and white on the timeline he wrote out. At the start of the timeline he wrote MOLD. It was actually hard to wrap my head around at first. Then the Realtime mycotoxin panel came back, and there it was - 10.34 for ochratoxin and a bit of tricothecenes. Now that I think back it all makes sense. And since then we've proved Brewer's theory correct, I got much better on the CSM, only to get worse as soon as I started the amphoB, and I've been stuffy and more achey since.
So from your experience you got surgery but it didn't work? Or did the mold biofilms return by the time you had the second set of scans?
I had been going to my primary for chronic sinus infections. I mentioned the moldy carpet months in and she looked it up and said there was such a thing as fungal sinusitis and sent me to an ENT. The ENT was an ass and dismissed it, said he saw 2 cases a year and was pissed that I was 'diagnosing myself'. Went to another ENT with the CAT scan. He said the gray mucous/inflammation was just a sinus infection that wasn't even that bad- couldn't understand why I was in so much pain, but that my sinus bone structure was narrow and hadn't developed well, so he went in and opened everything up so that I wouldn't get as many sinus infections. He didn't scrape any of it out and back then (9 years ago) they didn't know or think to swab it for a sample. They assumed the chronic sinus infection would go away so long as everything could drain better. I'd bet $1000 bucks that gray lining was actually the mold and biofilm.
So no it didn't go away and come back, it was there and had even gotten a little worse.