FYI, I asked question a few days ago in chronic pain forum.
Desperate for help. My gp and neurologist said my MRI and ct of neck was likely not the cause of my pain in neck, arm and legs. Saying results typical of normal wear and tear for someone my age, 51. But everything else has been explored via blood work and imaging and am revisiting cervical injury? My pain has been chronic and severe for nearly 2 years, I’ve been unable to work and function. In year prior, I developed weakness in legs, arms and hands and the only pain I had was intermittent but excruciating in back of neck/base of head/shoulders/back of head. I continue to get this pain in back of neck (this is only pain that’s infrequent) and it causes intense nausea and vomiting.
In past 10 mo, I’m in pain nearly constantly, it’s located:
Front of neck, feels hard, stiff, knotted, like a hard painful cyst and sometimes burning. If only I could put ice inside my neck. Pain is in different areas primarily left front of neck but also other thyroid/tonsil/throat area, under chin and right front of neck. I have difficulty swallowing and speaking at times due to pain. Persistent cough and occasionally sore throat.
Ears, in ear canal and inner ear/inside head. ENT exam ruled out obstruction.
Pain in neck and ears/inside head is nearly 24/7
Legs, deep muscular pain mostly in calf and shin and tingling, numbness
Upper Chest, constricted/tight/painful, feels connected to neck/ear pain but is less frequent.
I’ve been on many pain medications including fentanyl, vicodin, ms contin. Gabapentin helped relieve some of the pain but I couldn’t tolerate side effects. Now on methadone and Percocet for breakthrough.
Before this I was healthy, active, athletic. The pain is agonizing and not having a dx is beyond frustrating.
Evidence of cervical spondylosis with straightening of cervical lordotic curvature and minimal reversal of cervical lordosis at C5-C6
C4-C5, minimal decrease in height of disc space anteriorly. Mild degenerative grade 1 anterolisthesis.
C5-C6, reversal of cervical lordotic curvature with disc desiccation and decrees in height of disc space. Mild degree of arthritic facet hypertrophy associated with left uncovertebral join. Mild left sided neural foraminal narrowing secondary to uncovertebral osteophytes.
C6-C7, disc desiccation with slight decreased height of disc space.
This is largely mumbo jumbo to me. Would this cause my symptoms? I would think that one would have to have more advanced cervical disc disease to result in this level of pain, but??
80% of pain inside front of my neck is on left side. I mention that because of left neural foraminal narrowing.
I certainly don’t want to pursue this go in direction of cervical ddd if that’s not what it is. I’m in a pain clinic now and in addition to pain meds I’m about to try trigger point injections. Even though my pain has worsened and is severe, my hmo has largely thrown in the towel. Ironically it seems that this happens the longer one goes without a clear dx.
Thank you so much for your feedback.
My question buried in this longwinded post is do I pursue cervical ddd or is that likely not the cause of pain.
Wishing all of you a no pain day or a very low pain day!!