Your MRI isn't as bad as some, thats for sure. However, there are a number of the verterbre giving some problems. Maybe it can account for the pain you are having in your arms. Unless it says "severe" nerve or cord compression, they usually don't recommend surgery. I agree to look into TOS. Has the doctor brought that issue up at all as a possibility? Don't do any chiropractic things, as you don't want to make it worse OK? Lets see what leesa says too. She is one of the best about the MRI readings. ginnie