I too don't have ALL the points you are to have. It was years and 9 doctors to have a neurologist (myofascal specialty) diagnose and treat me. I always said i have a bad neck, and believe even to now that my work has promoted this mess I am in.
The diagnosis of this is not just done by the points, that is a guide to put it together, if you have a physician who first doesn't believe in the diagnosis itself you are screwd....
I fought NOT to have this label on me. I am Chronic Myofascial Pain Syndrome. (they are cousins) I have no FOG, rare tired unless I deserve it. But I had sleeping issues from the trigger points. And that is another thing, I have triger points NOT tender spots. I have physiological spots of muscle congestion that are treated with trigger point injections by the neurologist I see.
This year is 10 years of injections and they reset me to get on with my life. I work full time and am as acive as I can be. I stay positive (most of the time) just a flare or two can bring me down, but then the toolbox in resources here has helped to guide me how to fix myself. Usually 2 days of rest and tooling and I can get going again.
The ability to get someone to understand you is thebiggest. When I saw the neurologis, I chose them as I had neuropathy pain in both my hands in the morning, and range of motion issues as well as a headache (left side of the head....if I crossed the line and did too much) I always treated the neck muscles to releive the headache...so I knew it was muscluar in origin. As I spoke she showed me each muscle group and reason for the symptoms. I couldn't lay down as the neck muscles (scalenes) were choking me. She explained gravity and spasm..low lying undertoned spasm...
The book she used was a Myofascial Pain medical book written by Dr Travelle and Dr Simmons. ***I went home and bought the book!
I read it and highlighted everything that made sense about me!. IT WAS MY MOMENT , my moment of validation. She helped me so much and began the trigger point injections to release my muscles. It is not an easy treatment but it is so valuable for me. I receive 30-60 injections all over the shoulder girdle and neck area. If it doesn't hurt it is not in the zone it belongs.
I use a manual called. FM and Chronic Myofascial Pain a suvival manual by; Dr Devin Starlanyl to help me follow my body and do my own therapy at home. It helps to understand cause and effect.....some time I can get it fixed and moving.
So, you are in the early part of the process and that is getting a physician champion to diagnose you correctly. Then you can move forward in therapy and supplements to tune your self up. Somethings you can start now with. Like the Vitamins, no sugar substitutes (aspartame) drinking and hydrating your body with water. Eating well.
Something is going wrong with you and to get it better and in line offer the body all you can. We have a great ability to heal. BUT this is so complex that it isn't easy to accomplish. Mg 250mg twice a day has helped me alot (thanks to Dr Oz on TV and then talking here to Dr P.
You always have Dr P. here to talk with too. He cannot diagnose you but he can guide you a bit and help you to go in the right direction.
I send you all my best and just stay around here on the board, many have walked this early path and know the frustrations there are here. Good lck, all my best, Nancy B