Excruciating chronic left side neck pain plus lumbar issues
Hi Everyone,
I just joined and this is my first post.
I am a 66 year old male that lives in Melbourne Aus.
Thankfully I found this discussion forum in order to get answers in regards to my deteriorating condition.
For the last 20 years I have been an active sportsman doing long distance bicycle riding and body building, but in the last 9 years I have been hit 3 times (2013,2015,2019) by negligent drivers while riding. These accidents have caused me severe whiplash and a multitude of fractures.
Each time I recovered and went back doing my riding passion.
4 months ago I noticed a pretty strong left sided pain around C6 therefore I went to see physiotherapists and osteopaths. But 4 weeks later at the end of August, this pain got even worse when one night while lying down on my loungeroom carpet, I got up and felt multiple crackles in the spine. It didn't hurt at the time therefore I went to sleep and woke up half hour later in extreme pain going from the left side of my neck, left side of my thoracic spine. I felt as if I was twisted. I was unable to sleep or sit. Standing provided some relief but I couldn't sleep.
Things slightly improved over the next 3 weeks.
I had some MRIs done at the end of August 2022 which showed:
C2/C3:
[No protuberant osteophyte, disc bulging, spinal canal stenosis  or
neural foramina stenosis.]
C3/C4:
Minimal broad base central and bilateral lateral disc bulging with
associated minimal right intervertebral foramina stenosis
C4/C5:
Broad-based central and right lateral disc bulging with associated
moderate right intervertebral foraminal stenosis
C5/C6:
Disc bulging resulting in moderate bilateral intervertebral foraminal
stenosis
C6/C7:
Right lateral/foraminal disc bulging resulting in moderate right
intervertebral foramina stenosis
C7/T1:
[No protuberant osteophyte, disc bulging, spinal canal stenosis  or
neural foramina stenosis.]
Conclusion:
Multilevel disc bulging and multilevel intervertebral foraminal stenosis. To see the complete reports open the attached PDF.
I contacted TAC which in Australia stands for Transport Accident Commission. They are responsible for paying medical expenses for anyone who has been a victim of a transport accident. Every driver in Victoria pays a premium yearly when they renew their car registration.
I arranged an appointment here to see first and orthopaedic surgeon and then a neurosurgeon. The first specialist told me that I had C6 nerve root impingement and the second specialist reported facet joint syndrome in the neck.
The injury is defined as a mechanical injury.
I  noticed a discrepancy between the 2 opinions which left me frustrated. None of the specialists can pin point the exact source of the pain. They both recommended pain management and I am currently on Endep 10, Catapress 100 and Targin 10/5 daily. 
Also I was told that no operation for this condition was required and ultimately a fusion, if non invasive, minimally invasive therapies didn't work.
This maybe ok as a temporary solution, but it can't be a life long remedy, because these medicines have side effects and I can't even drive the car to the supermarket when I am drowsy.
In the mean time I had C6 nerve root cortisone injection at the hospital on 1 of DEC 2022, but it didn't work at all after 3 weeks.
I actually have more pain than ever before something like 30% more. I queried the hospital, but they told me that it was done correctly. 
Just a few days ago I have had fresh, new MRIs of the cervical/thoracic spine and a bone scan of the whole spine.
Yesterday 23.12.2022, according to the pain management specialist and the neuro surgeon, they couldn't find a lot of difference compared to the previous MRIs taken in August. They were perplexed as to why I feel so much pain. They can't pinpoint the source of the pain.
This is not very re-assuring and I have to keep taking drugs for the next 6 weeks. If I don't take the medication I have extreme, 10 out 10 burning pain that starts around left of neck at C6 going through C7, T1, T2, T3. The pain is also spreading aggressively in the left of my trapezius muscle. I have referred pain in the left shoulder, left scapula, left bicep/triceps and in the little, medium, index finger and left thumb. Referred pain is also felt in the right but not as bad. I also get pain going into my left pec muscle but it is not related to the heart. My cardiologist told that I am fine there even though I can get high blood pressure when I am anxious and stressed out.
To make things worse I have also been getting left/right headaches, left ear ache, left sided head scalp numbness and dizziness from time to time in the last 2 months. Just 2 weeks ago I developed a ringing tone in my right ear which is hypersensitive to sounds. I am a total mess.
The mental depression has been really bad and I have been isolated at home because I am unable to enjoy life like I used to.
Recently when I sit and lie down I feel numbness in my legs and feet. When I stand the problems seems to disappear.
My main frustration is the lack of answers and solutions to fix these problems and two specialists can't agree on a course of action.
I have been doing a lot of research and learned that referred pain can be caused by pressure on neck functional nerves and by facet joints sensory nerves but I don't which one is the culprit. Not even the specialists know.
I am worried that if the compression is not removed in time from those nerves (assuming that it is nerve related) I may get a neuropathy and get paralysis.
My bladder/kidney/liver functions are currently fine.
I don't know if anyone in the Mayo community has come across this and knows something about it.
While searching I found this site which looks promising:
spineconnection org
They can fix a lot of spine related problems. 
I haven't received the December MRIs/Bone Scan yet.
Thanks and regards
Alfred
summary of mri xray (summary-of-mri-xray.pdf)
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Your symptoms are so similar to mine....anything work yet? I'm so sorry u have to feel the pain
I have the same problem,,major headaches,,neck pain especially at the base of my skul by my left ear,,my scalp is real tender also,,I've seen 2 neurosurgeons,,pain management plus 3 other doctors,,I've had 12 shots in my neck with no help at all,,I'm on the waiting list for mayo but still over 2 months out,,this has been going on for 14 months now.
How did u go about getting an appointment? I don't know where to begin and I'm starting to loose hope with my issues, I can't get 2 doctors to say the same thing, or I get someone who knows nothing about spinal cord tumors and feel dismissed
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1 ReactionHow was it applied and length of time allowed to wear each day
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1 ReactionJane,
Each of us is different, and have different issues. You need to work with you PT to find the right amounts nased on yoir comfort levels. ,I am not allowed to prescribe that. Start slow is best advice I can give. Hope you heal soon.
Hi! I had a fusion of c5 thru T1 in 1988. If there is a decrease in rotation of the neck it is mild and I don’t notice it. I think what happens is the vertebrae above and below the fusion compensate and begin rotating a bit more than pre operation.
I can drive, reverse the car. My fusion doesn’t limit my activity in any way.
There is always the question of whether a neurosurgeon or spine surgeon (sub specialist of orthopedic surgeons) should do your fusion. Both are qualified. My feeling is that you should go to the one with the most experience ( ask how many fusions they do a year), best outcomes ( ask what percentage of your fusion patients experience surgical complications). In the US many people feel it is safer to go to a large university hospital. Remember with this approach, the attending physician with the great track record will not actually perform the bulk of the surgery. They are teaching centers so neurosurgical residents or spine surgery fellows will actually be the ones with the scalpel. That being said, I still chose to go to a large teaching university (John’s Hopkins).
I occasionally feel mild stiffness and take ibuprofen for a day or two.
As far as whether or not it will help with your symptoms, I don’t know, I had the fusion for different problems.
Hope this answer to part of your question is helpful
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1 ReactionI am so sorry that you are going through this. I know all too well with this feels like I have been struggling with something very similar for over two years. Your MRI looks very similar to mine. Although I do have a failed fusion at C6-7. It appears the bone did not fuse properly. And I have a Slippage at the C 3-4. I was actually going to come on and ask for advice on my end. I have two neurosurgeons in town telling me I need a posterior fusion from the C 3-4 Down to T 1-2. One of the doctors from John Hopkins and opened a practice here. Two other neurosurgeons say they would only do an anterior approach C 3-4 and the C 6-7. I am so torn also, I don’t know what to do. Mine is radiating down pretty far in my right scapula . The most impressive surgeon that I’ve seen is the woman from John Hopkins , the drawback is she’s only been practicing for two years, But she has three fellowships and her husband who is a neurosurgeon as well, but concentrate on the brain will be operating with her. I really feel for you in your frustration, and I understand the mental aspect of it. Going from a very full An active life to what you are experiencing is very hard to say the least. My situation is the same. Wishing you well and look forward to finding out what you decide.