I had an ACDF 2 years ago after a work related injury. Last June started to have increase in pain, had tried to go back to work as a trauma RN for about 11 weeks after an initial c56 c67 laminectomy, ended up with the fusion. I had an MRI that showed herniation below the fusion at C7 T1 with nerve root involvement of C8, debilitating pain. Now having increase in pain had new MRI 2/09 showed new herniation at C45 with nerve root involvment at C5, also a cyst formation at c34. To make matters more complicated I ended up with swallowing difficulties that never resolved after inital fusion, partial paralysis of nerve in throat area, now a CT showed on 2/2/00 that there is scar tissue pressing on my esophogus behind the incision line. I am not sure what to do or where to go. Worker's comp has now since my neurosurgeon testified on my behalf will not let me go back to him, unsure what to do with the scar tissue I can feel the lump in my throat when I swallow which causes choking at times with eating some foods very difficult. Has anyone ever had such issues or any suggestions on what to do or where t go next? I have been on steroid twice in 5 weeks, the pain is unbearable, WC has not approved any epidurals and I am not sure about having any furher surgery? Any advice would be appreciated.