Hi, I was wondering if anyone has any experience in dealing with this? Although, I was quite certain I had a fair amount of loss, It was confirmed to me this week, that it is permanent and it may continue to get worse. Counseling was suggested to learn how to adapt for myself, as well as my family. I am a 43, and have had a few surgeries, brain, spine. They believe my Chiari malformation may have started a long time before it was found, and that the damage was from this. I am currently 2 years and a little past my last surgery, and this week have started Physio and Ergotherapy, to attempt a return to work. I was pretty bummed when my Dr (whom I trust) seemed very concerned with what type of work I can do. Thanks in advance.