Dawn,

I would definitely get a second opinion as well. I know everyone is wired differently but for me, the C3/C4 referred pain upwards...up the back of my head. It is the levels below that NORMALLY refer pain into the shoulders and arms. Perhaps your OS is referring you to pain management for OTHER types of injections. I have had selective nerve root and facet injections at various levels but never an Epidural. My PM will NOT do ESI's in the cervical spine. Or, it could be your OS wants to send you to pain management for PT, medications...just conservative treatments. And I can't remember, but what was wrong with the C4?