thanks again for the replies.

i had an MRA done to test for thoracic outlet, that came back negative. but is that for pinching off blood flow or nerve entrapment?? my rhomboids have been really flared up the past two days. I feel like a dog chasing my tail since there are so many different things that pop up. i am heading back to the dr tomorrow to redo the EMG and have another pair of eyes check me out.

i've researched trigger points and have active release and accupuncture done on my shoulder, scap, trap. i just can't imagine having this much difficulty in my shoulder/back/arm/tricep based on some instability somewhere.