Hi Ron, I have read your posts on the importance of massage for upper back pain. I had surgery at T-2,3 and have had chronic pain for the last ten years after surgery. FOr the last two years I have been using self massage for my myofascial pain but the last three months have been getting trigger point release by a massage therapist. THe problem is that my pain is getting worse and increasingly has a burning to go with the aching. I continue to use daily heating pad and sometimes ice to the areas. Should I continue at $85 a treatment. Also do you know anything about cymbalta for myofascial pain? I take effexor now which is a related drug.