My husband's MRI Impression reads "......posterior disc osteophyte complex at all levels, most prominent at C4-C5 and C6-C7 resulting in severe canal stenosis. There is anterior indentation on the spinal cord at these two levels. There is linear hyperintense T2 signal of the spinal cord posterior to the C4 vertebral body likely representing cord edema/myelomalacia. There is significant bilateral foraminal stenosis at multiple levels ....." Could this be causing the pain in his neck, shoulder and arm? If so, what can be done to relieve the pain. And if so, is surgery or pain meds the only alternatives?