I saw my OS on Friday and he said he doesn't want to Fuse C4 because it wouldn't stop the pain in my neck, arms and shoulder. He is referring me to pain mngt. I've been before and had an epidural. The pain of that procedure wasn't worth the relief I received. What have others gained in pain management? We live near the University of Rochester Medical Center, I'm thinking of looking into a Spinal doctor there that speicalizes in artritis of the spine. 1st I have to get my primary to get me referral, and that takes an act of God. My pain in my arm and neck has gotten me cranky this a.m.