Thanks for the reply doc. I was a bit surprised when he suggested an ESI over mbb. He told me that I really don’t want to go down the RFA path unless I have to. His thought was that since I had left arm and shoulder without any neck pain back when the issue first started in 2014, that was indicative of disc pain. The thing is now my pain is local to my neck with nothing radiating to my arm or shoulder. Does the local tenderness when pressing on the back of the neck give any clues of disc or facet origin of the pain?
Also, I’m assuming if there is no nerve compression involved, the only way the ESI would help is if there is some nerve pain coming from the disc itself? Is it possible to have nerve pain that is somehow caused by the disc itself without compression?