@dlydailyhope,

Thanks for replying. I too have small-fiber neuropathy diagnosed via punch biopsy. The neuropathy has made this whole mess complicated, since I'm not sure which symptoms are "mechanical" (i.e., pinched nerves, arthritis, etc.) versus the neuropathy. I also deeply worry how I will respond to spine surgery due to the neuropathy.

I have seen probably six surgeons now. Some have advised surgery, some not. I have had PT, five steroid injections, fascial counterstrain, feldenkrais, Botox, etc, etc. I also had EMG's recently, and they only showed mild C5-6 chronic nerve root compression. The doctor said there is "no evidence of nerve disease", so I'm thinking that the arthritic changes are really driving the spasm and pain. I am seeing yet another surgeon on Friday who has an outstanding reputation, so we'll see what conclusions he reaches. Also scheduled to see neurologist on Friday and want to really ask hard questions, because surgery obviously wouldn't help if a large component of my pain is instead being driven by some neurological syndrome. I do wonder if something akin to cervical dystonia is going on.