Hi Harry,

Welcome, but at the same time, I'm sorry any of us has to be here.

I also have neck issues that radiate pain to my right shoulder, and are aggravated by driving (and other activities - like computer work...)

Something minor, but perhaps may help.... A couple of therapists noted that some of my arm/body proportions are shorter than "average", causing me to sit - almost imperceptibly - skewed while driving or in some chairs with fixed armrests. The same can apply to folks who may have longer proportions. Having armrests at the correct height, and adding some height/padding to those in the car, has helped increase my stamina for those activities.

Correcting (and maintaining) good posture - even after years of poor habits - can help in some situations. A lot depends on finding the right therapist who knows their stuff, what to assess/analyze/look for, and what kinds of exercises and modifications to improve things. PTs are not all equal.

I'll also echo others' urging to find good pain management, whether from a single specialist or a clinic, and if possible, get involved in a local (to you) chronic pain support group.

When you can, check out the links in the "Sticky" thread "Useful Sites & Resources" and (if it's not there already):
The Intractable Pain Patient’s Handbook for Survival by Forest Tennant, MD, DrPH
http://pain-topics.org/pdf/IntractablePainSurvival.pdf

Regarding the upcoming surgery, remember what happened the last time. My best advice is to become your own advocate, research everything you can, get a second (and/or 3rd) opinion, ask about alternatives/options, and consider carefully. My own personal belief is that surgery should only be considered as a last resort after any & all other avenues - including pain management - have been tried.

You're not alone. Best Wishes.

Doc