@Likaloha
Pain relief depends on the location of the pain and the cause of the pain. My pain from gastroparesis requires a different strategy than migraine pain. All are related to my mitochondrial disease and ME.
3 weeks ago I developed severe pain in my left shoulder, left pec, left trap, and running down my arm. Pain relief initially while the doctors were trying to figure it out that worked best for me was 2 heating pads. One in front and one in back of left shoulder and my not moving once I found a position where I wasn't screaming in pain. A combination of advil and tylenol helped a little in high doses.
One doctor prescribed a course of prednisone for a week that made the cysts in my body (fibrocystic breasts, lipedema legs, etc... swell making the pain even worse.
3 weeks into this, the doctors now believe its dystonia and spasticity that feels like multiple charlie horses. At times I can feel involuntary muscles pulsating on the back of my left arm, back of my shoulder, left pec near my underarm. From the involuntary muscle movements that are visible, you'd think I was using a TEMS machine.
Right now I can sleep for 3 hours at a time, am still using heat, and have cut the advil/tylenol combo to 3/4 of what it was. So some improvement. But still lots of pain.
This last week I started massage and chiropractor adjustments. Its helped some. Yesterday was my best day yet.
My appointment with my dystonia doctor is in January. He is booked up until then. Botox is supposed to help most, but hopefully this pain is gone soon. Not in January. When I've had dystonia in calves and also in my thighs over months, the pain was never as bad or as all consuming as this left shoulder pain.
Some studies say muscle spasms due to dystonia can have nerve/muscle relief/relaxation due to heat, massage, or pressure points taking over the nerve messaging. Some get temporary relief from this, while others can have such cause reduced strength of contractions and length of contraction.
My massage therapist in my chiropractors office on Friday found my muscles/myofacia to be ropey with many many knots. She worked on them and I did feel much relief the rest of the day. Best sleep last night. Today its tightened up again some, but hoping continued relief over the long term with massage. My next appointment is Monday. Today I rolled the area with a tennis ball.
At it's worse, I also use a massage wand, ask my husband put pressure on points that help, try to get lost in Netflix binge watching, and visualize/meditate that I'm a big beautiful tree without nerves and therefore don't experience pain. Whatever works in the moment.
For me it's about
1) Where is the pain in my body?
2) What is the cause of the pain?
3) What is the recognized treatment for such an issue?
4) Stick with whatever pain relief is working.
5) Read up on the issue/studies.
6) Don't take unnecessary meds. Reduce meds as appropriate.
7) Remember I'm not alone.
8) Remind myself that this too will pass. I've had lots of pain over time, but nothing that has been permanent over years. Even my back pain from disc issues was resolved through special weight lifting that made my posture better and elongated my spine and allowed my discs to go back.
I hope this helps!