He has had a 30-year history of neck pain.  He sought medical attention for this problem in 2006, when he developed ear pain.  This eventually led to him undergoing an MRI of the cervical spine, which showed some degenerative changes.  He was then referred to Dr. X for treatment of neck pain.  He has been receiving epidural injections under the care of Dr. X since 2007.  When I asked him what symptom he is receiving the injections for, he states that it is for neck pain and now the more recent onset of arm pain.  He also has taken several Medrol dose packs, which has caused his blood sugars to increase.  He is taking multiple other pain medications.  The pain does not interfere significantly with his quality of life, although he has a constant nagging pain.