I have CFD at C2-3 and it’s and it’s pretty much bone on bone. I have a fusion at C3-4. Recently a neuro surgean said there is nothing he can do about (2-3)it. I have had several nerve blocks, which do help some. However if I don’t get them every 3 months the pain becomes unbearable. I am 53 years old and have been dealing with the pain for about 5 years. I can’t imagine I have to do this the rest of my life. Is there really no other options? I have also had a discectomy at L4-5, fusions at L 5- S1 and L 3-4 and 4-5 over the last 27 years. I don’t need more pain, there has to be another answer. Appreciate any insight you can give.
If the C2-3 facets have been demonstrated multiple times to be pain generators and you have had failed multiple treatments including RFA, you could consider a fusion of this level. The C2-3 level has more challenge to be fused (it is high in the neck under the mandible) but can be performed with good results. Just make sure this is the only level that needs to be addressed.
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Thank you so very much for your advice and time. I have not had RFD at that level, and will seek a new MD in a more populous city who hopefully will have more experience. Thank you for the advice on things to pursue.