This is probably old news to those in this group, but the group is new to me. SUMMARY: car accident 9/2000 ; Chiara malformation discovered a year later, decompression surgery; labral tear right shoulder repaired 2003; fusion at c5 to c7 for compression on spinal chord 2006. Physical therapy chiropractors massage therapy pain medications trigger point injections botox injections tens units facet injections radio frequency procedures etc etc etc etc. Most recently I have been given lidocaine patches, had the flexeral replaced with tizanadine, and been given naproxen 550 mg. I was on steroids for five days for inflammation and that helped, but that is not sustainable of course. Recent mri shows continued degeneration at c3-c4. C7 -t1 shows mild to moderate facet degeneration, and the degeneration has spread down. Right arm feels hot and heavy, ring finger and pinky number or tingly at times. The worst pain is at the scapular/ shoulder blade level - like a stake has been shoved in and left there. I feel like puking. Not sure how much longer I can put up with this, especially if worse is yet to come as things continue to "degenerate". I am on a depression med, and some people like to think the pain is mostly imagined. Thanks in advance for suggestions.