Hi Maldo,

Thanks for your advice. No question is silly because we are trying most things. The levator scap muscle spasms are a bit different to the current pain I'm experiencing. When I get muscle spasms in the levator scap we're pretty sure that it is the culprit because when we dry needle it, it pretty much hits the sport.

Re the nerve irritation, that's a little murkier because the whole issue is confounded by a tight thoracic. My physio is currently dry needling c5 and c6 which helps and certainly gets the trigger points along with infrasprinatus (as I am getting pain in the last two fingers. I have had the scalenes worked on but not as much. I tend to breath like a fish so it would surprise me that it could play a part in the irritation. I have found a few trigger points in the scalenes (anterior aspect) when I am getting referred pain in my wrist and by releasing them it seems to help it. So your suggestion is very much on the spot and it's kind of ironic that I just discovered over the last few days that the scalenes are having a role in this because I was feeling like it was getting very tight. But as mentioned before I'm open to ideas and I'll run it by my physio.

Do you have any thoughts on why I get more pain when I am sitting in front of a computer and typing rather than writing? Do you think it's because I'm in a static position? I am however getting up every 15 minutes (rather than 30 minutes) to at least break the cycle and to stretch every 30 minutes.

Many thanks for your advice