Those three triggers aren't separate problems. They're three simultaneous power failures in an already-damaged alarm system.
Your peripheral nerves are like a home security alarm with faulty wiring.
During the day:
✓ Main power adequate (circulation = 70-80 BPM)
✓ Temperature sensors warm (no false alarms)
✓ Control center filtering signals (gate control working)
The alarm malfunctions occasionally, but doesn't go haywire.
At night:
✗ Power drops 40% (circulation = 55-60 BPM)
✗ Temperature sensors misfire (cooling = false fire signals)
✗ Control center stops filtering (every signal gets through)
The faulty wiring doesn't get MORE damaged. The entire system just loses power at once.
When I explained this to Sarah, she went quiet.
Then: "So my nerves aren't getting worse every night? The system is just failing?"
Exactly.
"Then why don't medications work?"
Because Gabapentin and Lyrica block alarm signals from reaching your brain—but they don't fix the power failure. They don't stop sensors from misfiring. They don't prevent chaotic firing at the source.
Plus, medications wear off during the night. Right when you need them most.
"So what DOES fix the power failure?"
That's when I told her about EMS therapy.