With the vaccination, some patients with chronic pain feel that their back or neck or neuropathic pain hurts more. I reassure them that it is temporary and will go away with time. It is nevertheless a fight daily, to be positive, to keep moving, to keep breathing, to never surrender to chronic pain. Once in a while you may need a minimally-invasive procedure like an injection to the muscle or joint or disc to break out of the vicious pain cycle.