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John_Maxwell_IV comments on Open Thread May 30 - June 5, 2016 - Less Wrong Discussion
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I've seen you mention trigger point therapy before. It's something I do, and it helps to a degree, but it has not had made a large change in my quality of life.
The rest seems worthwhile. Thank you for that.
I would guess then that you either
Suffer mainly from trigger points, but you're treating the wrong ones/haven't found effective treatment methods
Suffer from some other condition that's causing trigger points in your muscles as a downstream effect
One thing that might give you a clue is to figure out just how bad your trigger points are. You won't have a point of reference yourself, so I'd suggest visiting a few massage therapists and asking them after your massage whether you seem tighter than a typical client and where your worst tightness is. If your trigger points are very bad, or you have significant tightness/pain even in areas that aren't close to your head, I'd update some in the direction of them representing the core of your problem.
If trigger points are your primary issue, then keep in mind they can require quite a lot of creative investigation to treat effectively. For example, my current hypothesis is that the eyestrain issues I struggled with a few months ago were caused in part by the following chain: morton's foot -> trigger points in my soleus -> trigger points in my jaw muscles -> trigger points in my upper sternocleidomastoid -> trigger points in my eye muscles. It sounds weird, but when I spend a day walking around with inserts in my shoes to correct for the Morton's Foot, my eyes feel like they're loosening up when I lie down to sleep at the end of the day.
I recommend thoroughly reading the perpetuating factors chapter on every trigger point book you can get your hands on. Part of the reason I recommend SAMe is that one of the perpetuating factors that's been identified for trigger point problems is folate deficiency, but some people (like me) have MTHFR mutations that interfere with folate motabolism, and SAMe helps get around that. (Getting 23andme can help you determine if you're also an undermethylator.)
Make yourself the world's foremost expert on trigger points (and any other field of research that seems helpful for your pain). Then you'll have a great career if you do end up managing to fix yourself.