i have radiating pain from center of upper back progressing into my arms, hands, chest . MRI did not show significant compression some arthritis in C5 and C6. Tried tramodol with no relief, gabapentin some. I am trying prednisone but it elevates my heart rate. Tried PT some results. It has been over four weeks of excruciating pain. I can barely drive. At times I control it by pushing with my back against a corner of a wall. I need to go back to work in a week and don t know what else to do. What else can I do to manage problem and eliminate the cause?