Almost 4 weeks post two-level ACDF (C5-C7). The pain/weakness before surgery was on both sides of the shoulders/shoulder blades, arms, chest and numbness in the left hand/fingers. The pain is mostly gone from the left side (which was worse than the right before surgery) and since surgery, the right side is worse than before I had surgery. I have have also lost strength and dexterity on the right side in addition to my right thumb now being numb. My surgeon put me on a Prednisone Taper at my 10 day follow-up because he thought it may be nerve irritation. The Prednisone did nothing to help with the pain or weakness. Oxycodone 5mg IR or 5/325 does not help with the amount of pain I am in. I am on 800mg X 3 of Gabapentin per day and I'm still having much more pain/weakness on the right side than before surgery. I have started PT and I've been doing all exercises prescribed. I'm at a loss as to what to say to my surgeon at the next follow-up. I don't want to take more pain medication because it's just not working, makes me itch, makes me nauseated and generally makes me feel strange. I viewed these forums before I had surgery and after and all I can find is that people are wondering about different pain meds or higher doses which I am not looking for. I am looking for advice as to what I should say to my surgeon. I rarely get a full 10 minutes with him, so I need to say what I need to quickly and I'm not sure I know how to explain it in that short of a time frame. What are some suggestions I can take back to my doctor?