Well yesterday I went for my appt with the head of neurosurgery at one of the big hospitals in NYC. THank goodness my husband went with me for a few reasons. The traffic was awful - I can't believe I used to drive in that everyday. Second I am very glad that he heard what the doctor had to say.
I had asked in another topic whether "big" was better. Well this doctor takes the big bad cases and he was fantastic. He doesnt look at the radiologist reports. He looked at my MRI and CT from Feb and then the CT from May. His opinion is that the severe arthrosis at C6/7 is the source of this new pain (and maybe some of the previous). This is also the source of the clicking that I hear in my neck.
He thinks there may be some nerve impingment at T2 but that is not a major concern.
So he wants a new MRI and he wants facet joint injections to determine if this is where the pain is coming from. All this will be done under the direction of my neurologist and pain management doc who are local, which is great.
Here's the solution. If it proves out the way he expects it will be a posterior fusion from C5 down to T2. He explained that he needs to do this because to fuse c6/7 he needs to support it above and below to be successful. While he's in there he would take care of any T2 problems (gee thanks).
So the journey continues. Next week will be MRIs and disability forms. Then the week after I see the head of orthosurgery at another major NYC hospital. Can't wait to see what he says. So far the orthosurgeons can see nothing and the neurosurgeons see what is going on....interesting.