Hi, Desinie. I'm very surprised that you never had at least an MRI of the c-spine! From what I've seen, that's pretty standard. My specialist ordered a thoracic MRI after my dx (brain and c-spine MRIs were done initially) and that's where my only spinal lesion was found. I can't speak to what you're personally experiencing but even in the radiologist's report of my t-spine the impression included "back pain". The truth is, flare up or not, if I were you I would definitely want an MRI of my c-spine and t-spine. At the very least it would be a baseline for other spinal MRIs that might be deemed necessary or helpful down the line. I hope your doctor ultimately comes through for you!