Might ask Drs for more info about -
Incidental not of several vertebral body hemangioma
Mild posterior disc osteophyte complex at T5/T6 causes minor impression on the spinal cord anteriorly.

Often it comes down to relating your pain & symptoms & locations of them to your dr , and hopefully they can figure it out.

I found this years ago.. https://www.neurotalk.org/members/10...cture5102.html


The ongoing work posture factor could play a large part, PT & DC 2x a week or so can't do enough to offset the continued micro injuries..
Sometimes seeking out more advanced PTs & DCs is beneficial too.
I had many sessions of PT (work comp) and found some were much more helpful & knowledgeable and some just went thru the motions..
Later found a very good DC that did much more hands on work & other modalities like IF stim & Low level laser.. also did top rib mobilisations, and trigger point...

Some of your arm symptoms make me wonder if a bit of Thoracic Outlet Syndrome (TOS) is starting to show up or perhaps a chronic RSI is happening.
You might explore our TOS forum & the sticky threads at top of it to learn more..
https://www.neurotalk.org/forum24/

A good pillow for neck alignment & maybe adding a gel memory foam thick topper if your mattress is getting older might be helpful.. Many of the Gel/mem mattresses that come compressed in a package are affordable and quite nice now days.. There are online reviews and good deals to find compared to the walk in mattress stores..