I have been in progressively worse neck pain for the past 4 years, which do cause migraine headaches. I have seen doctors, neurologist, and a rheumetologist. Finally after fighting to get an MRI I got one which showed cervical facet arthritis at C4-5, with uncinate hypertrophy. C5-6 I have right foraminal narrowing on the basis of uncicate arthritis with hypertrophy.On the C7-T1 the again is factet arthritis. They say the canal (I assume spinal) is narrow on a congenital basis, but say I don't have stenosis, however for the past year and a half I have had tingling and numbness in my right hand. I also have narrowing of the foramina at at all cervical levels. My neurologist and rhuemy say these shouldn't be causing me pain, and I've gotten the muscle pain explanation. The muscle relaxers have done nothing for me but make me groggy. I am however under the treatment of a wonderful PM doctor who keeps my pain manageable with narcotics. If it wasn't for her I don't know what I would do because the pain was on a 8-10 basis. I have tried one facet injection with medial branch block that did not help. I did the trigger point diagnostics which helped but my insurance denied that treatment, which included injecting botox for long term relief. I am thinking about paying for the trigger points myself. I would like to find some treatment that would either augment the medication, lower my dose, or even get me off the narcotics. Do you guys think I should try the facet injections again, or at different levels. It would be nice if they helped so I could get the nerves burned. I am young would like to be more active. Any suggestions would be greatly appreciated.