Yrs of neck and muscular right shoulder pain w/ no relief from trigger point injections or muscle relaxers. neck cracks hourly. what can i about this?

Ortho exam: If no better with trigger point injections and muscle relaxers, sounds like a good orthopedist exam and perhaps an MRI are indicated to get a more specific diagnosis and treatment plan.

You may need testing: Sounds like either a neck problem, or an intrinsic shoulder problem. Please see an orthopaedic physician as you need to determine the source of the pain. It can be a nerve irritation of the cervical spine causing neck pain with referred shoulder discomfort. Or, it can be a rotator cuff problem. Either way, an evaluation by an orthopaedic doc can help you with the diagnosis.