extreme pain in the neck and shoulder area. C3-C4 minimal grade 1 anterolisthesis C3 on C4 of 2mm. Disc height loss and mild-moderate annular bulge. Asymmetric right foraminal narrowing with likely abnormal mass effect upon the exiting right C4 nerve root. C4-C5 mild disc desiccation and posterior osteophyte/disc complex attenuates the anterior subarachnoid space with minimal anterior cord contact. rewriting from doctor notes, still more however it continues about the same through C7-T1. the pain is the big problem, neck and shoulders bad in morning and lasts all day. no one has any answers.