<s>[INST] I have a grinding when I turn my neck worse gringing when I tilt head back, also the back of my neck feels like its on fire some times I sit down put a cool cloth on my neck and with all that I usally get nauseas several times my left arm will go numb tingle and a few times it extends to the leg I have seen a dr he said from my last mri going on 2 years ago that the cartlige between my 2nd 3rd and 4th verabrea was almost completely gone along with bone spurs starting, and scoliosis I have 4 injection in my neck about every 6 months (had 1 just last week) and I am put to sleep for this procedure this all done by my anastasiaolgst should see a spine dr or just continue with the injections [/INST] Hi,Thanks for writing in.It is possible that your symptoms of severe pain in the head and neck regions are due to irritation of nerve roots in the cervical spine. This is known as radiculopathy. It happens due to nerve root irritation due to slight movements including when you are asleep. This causes pressure on nerves roots and pinching of the nerves. This is followed by sudden shooting pain from the neck to the head and can also be experienced behind the eyes. Please avoid use of pillows when sleeping and sleep on a hard mattress. Avoid making sudden head and neck movements. If you feel severe pain at night then apply a little ointment containing pain reliever and muscle relaxant. Please discuss treatment available for degenerative cervical disc disease with your doctor and if surgery might help.If you are not sure of getting surgery done then please continue injections and also make enquiries about new procedures like radio frequency ablation or laser assisted surgery for a better outcome. Please do not worry. </s>