hi, you seem to have a long history of conditions troubling you, you must be fed up by it i can imagine. what i sense is that all your problems have been tackled as individual conditions and are being treated like that for eg, your back, neck pain is one, your wrist is another, your biceps (tendinitis?/tenodesis?) is another, your scapula is another and your cervical spinal fusion. still your problems didnt seem to go away, even after a cervical spine surgery. you do qualify as a complicated case and may need rethinking as to the approach of your treatment. your indigestion may be most likely due to the gastritis that is a result of long long term pain medications. they damage the stomach lining! you may be having a chronic disease that leads to degeneration (ie destruction) of most of your joints (eg your whole spine) and other areas of your body, like tendons (wrists etc) i suggest you ask yourself if you have other symptoms in your body that you may deem not connected but may be part of a whole syndrome of disease. i also suggest you get examined by an internal medicine specialist and/or an endocrinologist and/or a rheumatologist so that someone looks into you as a whole rather than treating each problem as a unique entity as it is clearly not working. regards/