Fixing the symptoms (pain), without fixing the cause, is a waste of time. People who go the pain medication route just end up junkies with rebound pain syndrome.
It sounds like a classic cervical disc compression with facet joint syndrome and compressed nerve root with degenerative disc disease. You don't say where your shoulder burns, or whether it's the inside or outside of your elbow, nor which fingers tingle.
But, from the general description, it sounds like compressions ranging from C5-C8.
You are way beyond the time frame for steroids or physical therapy. (You make no reference to muscle wasting, but the time would still be primary factor)
There is no option that will guarantee full pain resolution, but the most realistic one is fusion surgery with a cage or plates.
The ONLY Dr. who can give you any decent answer, is a Neurosurgeon who is experienced and SUCCESSFUL at multi-fusion cervical discectomies.
Sure. If you had an RF nerve ablation procedure ("burning the nerve endings"), and it was effective for around 6 months, one of your pain problems is from cervical facet syndrome (or cervical spondylosis). This is an osteo-arthritis of the spine joints,
But if this procedure only got rid of part of the pain, then this may not be the complete diagnosis, or they should have done the level above or below.
A good interventional pain doctor should be able to figure out what's ailing you. However, some of us with spine disease have pain for the rest of our lives. Not every problem has a treatment.
Check out
http://www.spineuniverse.com/conditions/degenerative-disc-disease
for more information.
sorry your hurting!!! i had the same sxs. after 3 years of pain i had a nerve block(epidural) placed by contrast xray. i have been pain free for 5 weeks now. i was able to stop pain pills