I have had cervical spine issues for the past almost 4 yrs. now, after a work related injury. I am female 45 y/o worked as a trauma RN in an emergency room for many years. I was injured & ended up with disc herniations at C5-6 C6-7 had L sided laminectomy to relive L arm radiculopathy back at end of 2005. Tried going back to work, had continued increased symptoms leading to an ACDF at C5-6 c6-7. Immediately post op had swallowing problems which have never resolved. After many doctors & testing over a yr due to chronic choking & not being able to eat well was diagnosed with partial paralysis on the R side of my esophogeal nerve. I had a feeding tube inserted to keep my weight up, this lasted 8-9 months & I had it removed due to chronic infections & pain at the site. I now eat small amounts of soft or liquid food have a suction machine at home in case of choking. I have had chronic pain since the surgery & my neurosurgeon has deemed it failed back surgery. The last MRI due to increas in bilateral hand pain, weakness, numbness, pain showed herniations at C4-5 & C7-T1 with C5 nerve root involvment & C8 nerve root involvment. I have been to pain managment, they won't do an epidural due to narrowed space & significant scar tissue. I have been on pain meds which don't help anymore, I barely sleep at night even with a sleeping pill, the pain is constant. I have 4 teenagers & this has been nothing but a nightmare. I went to the neurosurgeon today who is relatively conservative, he suggests and EMG to see exactly which nerves in my arms are involved & then due to the significant trouble I had with the anterior surgery a posterior C4-5 fusion with nerve decompression & C7-T1 fusion with C8 nerve root decompression. This will leave me with a 4 level fusion yet with the increase nerve pressure I am losing the ability to pick up even a gallon of milk. I am not sure what to think, has anyone ever had a similar situation who can share their input? I would greatly appreciate it. The complication is worker's compensation has been denying much needed medical care & I am sure approval will take more time.