Alfred,

Have you ever considered that the symptoms could be cause from instability?

They did a decompression, but no fusion?

Usually, muscle spasms and tightness can indicate your muscles are working overtime in order to try and stabilize your cervical region.

I am certain I do have some instability. I have similar symptoms and more. Your neck can affect so many things, including dysautonomic dysfunction.

Have you ever had any accidents like motorvehicle, or others?

I am hypermobile (hymobile ehlers danlos) and have had some horse riding accidents in the past.

There are some very knowledgeable groups on FB about cervical instability.

Unfortunately, there are very few surgeons in the world that are knowledgeable about it and perform surgery. Which to me is surprising, as I'm sure there are more people with it, than we realize.

It affects my quality of life greatly. I do stretches, see a Chiropractor that doesn't use rough manipulation, muscle relaxers etc. I am now doing injections to numb the facet joints, which helps a little. Than ablation. Ablation, won't exactly help a lot of the symptoms, like nausea, dizziness, fatigue, dysautonomia (which regulates so much in our body) the various headaches, migraines and cervical neuralgia.

Best of luck. It's a long stressful road. I pretty much gave up finding a surgeon, as they are so busy. (The ones in the US). My insurance covers Mayo, and anything outside of that is not covered, therefore out of pocket. I don't have 50k to drop on a surgery. If it continues to worsen, I hope that I honestly don't live another 20 years. (I'm 40 right now). I currently work about 35 hours a week. I would like to go back to school to get bachelors in nursing, but I am exhausted just with work and daily life. I don't have a choice to go on disability. It involves a lot in the US. Plus, I would rather not be on disability. Mentally and physically it's better for me to work. I just want a better quality of life.