Thank you for responding to me I greatly appreciated. I know my doctor told me that c4 showed slight narrowing but he said he didn’t feel it necessary to touch c4 because he said I wasn’t showing any sign that I was having problem with it. This is prior to having c5-c6 surgery, c4 showed slight narrowing but not that significant. so now am exhibiting that c4 is giving a problem according to my doctor. cause now the pain is radiating from the neck to arm. he thinks now c4 is the problem or my shoulder itself. I just don’t know what to do, am in constant spasms, pain, and having problems sleeping now. I don’t want anymore surgeries. but thank you so much for all your expertise.