Am having problems with my neck and shoulder muscles. It's almost incapacitating at times. I had my neurologist inject my neck on Monday but it did not seem to help. I really wonder if some of this is related to mania. In the past I would go so off the chart I would know for sure that I was manic but now I'm not sure of all the signs or when I am high or low or in the middle. I know the pain is real but I don't know how much of it can be related to anxiety.