Case of the Month #20: Neck Pain and Headache by Dr Kerry Bosworth
He had a repeat MRI and CT prior to his spinal surgery appointment. This showed progression of the fusion seen on his previous CT.
His symptoms had somewhat improved during the wait for his appointment. He had trialled stopping duloxetine but found this worsened his pain so had restarted it.
He was keen to discuss if a surgical procedure could benefit him.
The spinal surgeon felt that the fusion was likely to continue to progress and that his symptoms may continue to improve as this happened. If this did not occur, surgical fusion could then be considered. The patient was happy with this management plan.