Cervical degeneration after nearly 2 years getting worse

Hi,

I have been getting worse since August 2022.
Throughout this experience I have seen neurosurgeons, pain managent specialists to no avail.

In August 2023 I made the stupid decision to get decompression laser surgery at C5-C6, C6-C7 and bilateral rhizothomies from C5-T1 at the Deukspine Institute in Melbourne Florida by neurosurgeon Ara Deukmedjian.

The surgery was a total failure because it gave me a dropped head and chronic muscle spasms that I did not have prior.

My condition has been getting worse, more symptomatic than before.
Not sure if the removal of the bulging disc material from already thin discs and facet joint ablations have contributed to the destabilization of my cervical spine.

2 neurosurgeons in Australia advised me not to seek anymore operations and ablations and to get off the drugs. Gentle Exercise was their recomendation. The surgeons did not think that an operation would improve my pain due to thae fact that it is multifactorial.

I have been trying to do more physical activity such as walking so that my muscles won't waste away.

Last week I had the latest cervical neck MRI that shows more deterioration than before.

Can anyone interpret the meaning of the following?

I asked my GP and Specialist but the don't really explain what is the meaning of this. Should I worry?

My symptoms are stinging, burning neck pain, shoulders, sholder blades, arms, hands, fingers nearly chronic pain. Pain a lot worse when sitting and lying down.

Pain, pins and needles shooting in legs and feet at times.

Thank you.

MRI - CERVICAL SPINE
History: A 67-year-old male with complex history of neck surgery presents with neck pain and deterioration in neck symptoms for investigation. ? Disc pathology.
? Radiculopathy.
Technique :
Standard protocol.
MRI Findings :
There is straightening of the cervical spine with loss of the normal
curvature and there is subtle anterior spondylolisthesis of C7 relative to Tl.
At this level, there are broad-based disc bulging, endplate ridging and facet arthropathy contributing to foraminal narrowing for the exiting C8 nerves bilaterally but worse on the right side. Vertebral body height is maintained. Small haemangiomata are visible. The Cl-2 articulation is preserved.
The cervicomedullary junction is intact and there is no cerebellar ectopia.
Cervical spinal cord has normal morphology and signal. Central canal is capacious .
C3-4: Disc degeneration is present with loss of disc height. There are broad-based disc bulging and endplate ridging preferentially towards the right side.
There is foraminal compromise for the exiting right C4 nerve and moderate grade foraminal narrowing for the exiting left C4 nerve.
C4-5: Disc degeneration is present with loss of height, endplate change and anterior corner bony ridging. There are disc bulging and endplate ridging preferentially towards the right side. There is foraminal compromise for the exiting C5 nerves bilaterally but worse on the right side.
C5-C6: Disc degeneration is present with loss of height. There are mild broad-based disc bulging and endplate ridging preferentially towards the left side. There is mild foraminal narrowing for the exiting left C6 nerve.
C6-7:
Disc degeneration is present with posterior disc bulging and endplate
ridging. There is moderate grade foraminal narrowing for the exiting C7
nerves more pronounced on the right side. Facet arthropathy is noted. There is mild fatty infiltration of the paraspinal musculature. No cervical rib and no fascial band is seen. Thoracic curvature is noted.
Conclusion :
Straightening of the cervical spine with mild degenerative spondylolisthesis of C7 relative to Tl. There are associated facet joint arthropathy and foraminal narrowing for the exiting C8 nerves.
There is degeneration of the cervical discs with disc bulging, endplate ridging and facet joint arthropathy resulting in multilevel foraminal compromise particularly on the right side as outlined above.

Alfred