Brief Answer: Keen attention, second probable surgery, neurosurg Detailed Answer: Hi and thanks for the query, It might be required to better characterize and appreciate the symptoms, especially with respect to the pain. In case no pain had ever been experienced at the back, shoulders and back before, the symptoms could be attributed to the neck disease or surgery. If the pain had ever been experienced before the surgery, it might be necessary to search for other possible causes. It is not rare to experience such symptoms in neck disease. It might be important to note that the nerves that supply the neck, shoulders and upper regions of the back all originate at the level of the neck. From the symptoms described, there should a problem with nerve compression at the level of some nerve roots at the level of the neck. A proper X ray, neck CT scan and Magnetic Rasonance Imaging, MRI, would be precise the lesions. I am afraid a second surgical intervention might be required. At times medical treatment is sufficient, but rarely without surgery. I suggest the patient visits the emergency room for the neck to be immobilized, to avoid and reduce secondary lesions/destruction, and the patient awaits to meet his neurosurgeon. Kind regards as I wish you the best of health. Dr Bain

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