I am not sure anyone can make that determination based off of what you have stated and submitted. The image is only one, and just of an APLC plain film or perhaps a scout from your CT so isn't diagnostic of much of anything and without a tangential view is really not helpful. As far as your report, it is suggestive of degenerative this and that so I think a trip down to your local pain management doc might just be the right idea! Surgery....not so sure from what you have shared.

Agree, not needing surgery at this point, just thinking it's imminent years from now. Last resort, would not do unless unbearable, which I believe I am from from at this point once I get injections.

I was referred to a pain doc, appt on 4/9. Meanwhile, my thumb is still numb and tingling down my arm. Really annoying...hopefully an injection(s) will get rid of it

Have you considered seeking out a very skilled chiropractor?
If not for adjustments , but for an evaluation?
Take copies of your films or reports..for best results..

Any history of past accidents or injuries, sports, vehicle, falls etc?
Any long term desk or repetitive work? (the dreaded forward head posture?)
Body worker, posture expert, skilled PT might be helpful.

I wonder if an inversion table might be beneficial?

If muscle spams are an issue perhaps you have trigger points also..
you can't fully resolve spasms until any TrPs are resolved..
http://www.pressurepointer.com/pain_reference_chart.htm

I agree with Jo Mar ....


I have issues with my neck also and I sought out my chiropractor. He did me great until I had my latest MRI of the neck.

My C1 and C2 along with my C6 and C7 are the worst. He did several slow mechanical cervical decompressions. With 6 treatments, 3 each week with a day inbetween to rest. It helped me alot.

But since my C1 (Atlas) and C2 (Axis) can't seem to stay in place, he suggested I see an upper Cervical Chiropractor. They do xrays in an upright position that way they can see what is really being pinched as to the conventional MRI's and xrays where you lay down.

Check out this website ... www.upright-health.com by Dr Michael Flanagan D.C.

He has a book out called "The Downside of Upright Positions".

It is an easy read and understand (pics and everything).

He might even answer your questions if you blog him on the site.

Good Luck and I pray for answers and relief from your pain.
God Bless
Str*