Well I got my MRI (covered this time) and it showed a high grade spinal stenosis due to spur disk protrusion at C6-7. At the followup with the orthopedist we decided that we will try up to two steroid injections at the nerve, then consider surgery if those don't work. He said that in my case they would tend to make more aggressive treatment recommendations due to the neuro deficits, the more severe nature of the lesion, and the fact that decompressive surgery of the cervical spine has a generally much higher success rate than for lumbar cases.
I got the first injection yesterday and really it was not that bad. Now I'm just waiting for it to kick in, which might take 3-5 days. I still can't function without high doses of NSAIDs and narcotics at night. It would be delightful if the steroids injections work, but I'm ready for surgery if they don't. I'll still get that second opinion though, but I guess the thought of surgery just doesn't make me that nervous.