60y.o. male 2 month history worsening left neck, shoulder and arm pain to the elbow PMH: NIDDM, HTN, non- smoker 10 years prior C5/6-C6/7 ACDF’s with plating using allograft rings and autogenous iliac cancellous bone. SH: Small business owner as Financial Planner, active hiker/camper My accountants brother Treatment: NSAIDs, short course of PT Symptoms progressed
DECLINED INTERVENTIONAL PAIN MRI: PROGRESSIVE C3/4 NARROWING, MANAGEMENT SEVER LEFT FORAMINAL STENOSIS. ELECTED SURGICAL REMEDY
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