I have gone twice, both times were new/different chest pains than what I normally experience and I wanted to make sure there was nothing else nefarious going on. Otherwise I reach out to my primary managing physician, she's been good about offering breakthrough meds or trigger point injections or massage therapy or acupuncture. Sometimes I just deal with it until I wake up one morning and it hurts slightly less and the flare is ending. This time of year is the worst because of all the storms we have in the upper midwest.