I have Mylopathy symptoms, handwriting has gotten bad, i drop things, i walk unbalanced. I have headaches, and some radiculopathy in the c6-7 area. My MRI shows moderate to severe compression at. C3-4 and moderate at C6-7. On exam i am weak, i have a positive hoffmans and clonus, numb hands and feet. I have a previous fusion at C4-6 which is solid. I have only had these symptoms since April2nd when PT extended my neck snd did deep manual therapy and the question is do we wait to see if symptoms resolve or do we move ahead with ACDF of the two affected levels. My questions are will my symptoms be permanent if we don’t move ahead? Or, how long should i wait? The surgeon is presenting my case to his colleagues at a spine team meeting this coming Monday and more input will be welcomed.