Hello @deacra07 . Welcome to Connect. I am a cervical fusion patient with C5/C6 fused. I get muscle spasms that can twist vertebrae above my fused levels and that tends to happen if I don’t have enough neck support when I sleep. I also have thoracic outlet syndrome or TOS which makes one side of my neck tighter which makes it easier for vertebrae to rotate. I recognize when this happens because of getting an occipital headache on one side, ear or jaw pain and even pain into the shoulder blade. Once I get this straightened out again, it resolves. I try not to do things that trigger it.

Does your PT check to see if your vertebrae are staying aligned? They can feel to see if the spinous processes are in line. My PT also does myofascial release to release the tightness in muscles that are pulling the bones out of alignment.