Thank you jm1 and for your prayers, I definitely need a lot.

I am icing as I am writing, it is helping a bit.

Today I went to see my pain management doctor who told me that no decision can be made about fusion surgery unless they can prove which the facet joint, nerve root are causing the pain. So far I had some facet joint injections and 2 left C6 nerve root injections.

In Australia the surgery would cost around $50000 AUD or $33581 USD. I don't that it would include rehabilitation.

I don't I understand why they are not trying C5, C7 and C8 nerve root injections since I get referred pain in all my fingers on and off on both sides.

My main stabbing point is mainly under C7/T1 to the left.

This is my latest bone scan from 6 March 2023:

WHOLE BODY BONE SCAN

Clinical Notes:
Neck, thoracic and low back pain.

Technique:
The entire skeleton was examined following intravenous injection of 847MBq of Technetium HDP.
SPECT images of the entire spine were also acquired and these were reconstructed in three planes.
These have been co-registered with a preceding low-dose CT study including colour-coding.

Findings:
Comparison has been made with the previous study of 21/12/2022.

Cervical Spine
Some disc degenerative activity at C4/5, C5/6 and C6/7 is again seen similar to the previous study.
On this occasion there is some very slight facet joint activity on the left side at C6/7.

Thoracic Spine
Previously there was some slight increased activity in the left T2/3 facet joint. Today this is more marked and quite prominent.
Prominent increased activity is now seen in the right T5/6 facet joint not present previously.

Lumbar Spine
Disc degenerative activity is again shown at L2/3 and L5/S1.
There is now some slight increased disc degenerative activity at L1/2 not shown previously.
There is no increased facet joint activity.
The sacroiliac joints remain unremarkable.

Comment:
Since the previous study some slight increased activity has developed in the left C6/7 facet joint.
Significantly more marked activity is now present in the left T2/3 facet joint as well as activity in the right T5/6 joint indicating
degenerative synovitis.