Is cervical involvement with PsA really that uncommon in early stages of the disease? I've had awful headeaches, nerve pain, and neck pain for years now, progressively getting worse. My doctor said "oh it doesn't affect your cervical spine until it's way more progressed" but my primary doctor (who has RA) said that it could. Neither my rheumatologist or neurologist have done an MRI for it yet and I'm really just trying to figure out if that's what I need to push for.