@ibz9193
I have cervical and lumbar stenosis, degenerative disc disease, cervical myelopathy and lumbar neurogenic claudication. I can relate with your symptoms and did not sleep well. I would wake up with daily headaches.

Do you have a desk job and work on a computer all day? I did for over 30 years and it was not good for my spine.

Are you seeing an orthopedic spine specialist/surgeon or neurosurgeon? Have you had any cortisone spinal injections for pain (working with a pain management doctor)?

I had ACDF surgery on c5-c6 in 2022 and need c6-c7 done next month in May. My herniated disc is compressing my spinal cord and nerve roots causing radiculopathy. It definitely sounds like you are having radiculopathy symptoms. My symptoms started when I was in my early 40s after having my only child (pregnancy put pressure on my lumbar spine). I also had lumbar spine decompression and fusion surgery on l3-l5 in 2024.

Have you seen a neurologist for EMG/nerve conduction studies? They can also do a small fiber neuropathy skin punch biopsy. Your heart can be affected by small fiber neuropathy.

Have you seen a cardiologist to rule out anything tied to your heart/vessels?

Did you have a mri of your brain due to headaches?