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Thank you Dr Corenman
That truly does help.
There was one other thing I failed to mention that I’m puzzled by, and would as always appreciate your input.

I’ve had 2 courses of nerve block injections. Spaced 5 months apart so far. So as you know C4/5 and C6/7 are two new sites of damage caused by the accident as is the seeming changes at my c5/6 fusion. At any rate both the new levels of damage at c4/5 and c6/7 have worsened with time though I’ve received some good/ moderate pain relief with these injections.. My question is my pain doctor has only been injecting the C4/5 level and only on the right side for each of these 2 injections received. He states my symptoms are more C4/5 based and right side Bc my pain is predominantly on the right and affects my range of motion to the left.. That said while I’ve gotten good relief though less relief with this second injection at the same level and same side, I’ve noticed one consistency: that with both these times I receive an improvement in the first week or two then right after the two week mark or directly before two weeks I have terrible symptoms worse than before the injection debilitating that always last approx 2-3 days than subsides for the duration of treatment. My questions:
1) Is that normal that at or soon after 2 weeks I would have returning more so worsening symptoms for a couple days? 2) If not what could that be attributed too?
3) What could the implications of this mean?
4) both adjacent levels being impacted yet injections received at only one level and only one side- what results or implications can be derived in this approach, what to look for? Why or why not inject both sides and both levels?? 5) If so under what circumstances?

Thanks as always. My apologies for not stating this sooner, as its of great concern!! Thank you