@cmzollinger
Have they narrowed down which levels/nerves may be compressed (EMG/nerve conduction studies/myelogram testing) and what is causing your ongoing dizziness/balance issues post surgery? Did you have dizziness/balance issues before surgery? I’m not sure Botox is going to do much for dizziness/balance because Botox deadens muscle unless they know exactly what levels are being affected by muscle spasms/stiffness/tightness.

Once I had ACDF surgery on my C5-C6 level to decompress/fuse and relieve pressure on my spinal cord (cervical myelopathy spinal cord injury), I immediately noticed reduced neck/shoulder muscle tensions and my daily headaches went away. The myelopathy also affected my arms/hands (weak/numb/dropping things/writing challenges), walking (heavy cement feeling in legs), and bladder control. I also have balance/dizziness and believe my myelopathy caused some permanent spinal cord injury and I have some residual deficiency in arms/hands/legs/bladder.

My small fiber neuropathy/peripheral neuropathy plays into my sensorineural/motor movement (sense of where you are in space when moving). Have you ever been tested for small fiber neuropathy?

My understanding with myelopathy, it can affect neurological signals and spinal cord blood flow below the cervical spine level plus any spinal stenosis/neurogenic claudication can affect blood flow to sensory nerves and cause damage.