My NS got a hold of me Friday as she had reviewed my pain journal and was trying to figure out why I continue to have pain in symmetrical pain in right and left shoulder region that is not consistent with MRI findings of cervical stenosis C 3-4. She ordered a new MRI for brain region since I have had tingling sensations in the right facial region along with MRA to detect thoracic outlet syndrome. Being on new meds Gabapentin for nerve pain has helped for three days until this morning when nerve pain came back full force along with pain in my left upper arm again. A few hours later I begin to have slight pain in my left leg with a sensation of heaviness.
Surgery has been offered for the C3-4 moderate stenosis. The C5-6 region has been diagnosed has mild with neural forminal narrowing as well. NS has been very clear that surgery for C3-4 will not resolve outlying issues which I respect her professionalism as she has spent a considerable amount of time consulting with me and going over my pain diary.
My concern now is discomfort in left leg and the fact that meds did not resolve the nerve pain issue. NS did recommend increasing dosage as needed, but I am worried it will affect my cognitive abilities. I am to have spinal epidural consultation this week and the epidural will most likely be administered the following week. Also will have additional EMG on right arm to determine if there is more nerve issues. NS notes even indicated fibromylgia
In summary I am confused, frustrated and a little scared as the symptoms are so erratic and there is not a clear diagnosis.