Hi Dr Corenman. Thanks for your reply. The doctor I saw was my spinal surgeon who is very well regarded. He said he couldn’t see any reason on the MRI why I was having so much pain and so he did tests which ruled out MS. He came up with the weak muscle diagnosis saying that was the only explanation left. He acknowledged there seemed to be a lot of swelling around the neck and I have had some facet joint cortisone injections which helped for a few weeks. However I don’t understand why the pain got worse a year ago, and why I am having such a severe reaction to sitting and looking down. Could it be weak muscles that are causing me so much pain when looking down?