My MRI shows multilevel cervical spondylosis. What should I do?

Hello,

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To be more precise, I need to know about your symptoms, such as the location of pain in the neck and arms, nature of pain, any weakness in the arms and hands, stiffness, duration of symptoms, and response to treatment taken so far. However, with the report you have sent (attachment removed to protect patient's identity), there are maximal changes at C5-C6. Other levels above and below show signs of disk degeneration and mild prolapse. With foraminal stenosis at C5-C6, there is an increased chance of exiting nerve root irritation.

If you do not have any brainstem stroke symptoms, I would suggest:

1. Anti-inflammatory tablets.
2. Tablet Pregabalin.
3. Tablet Duloxetine.
4. Antispasmodic tablets if there is a neck spasm.
5. Do traction and neck physiotherapy exercises with TENS (transcutaneous electrical nerve stimulation) and IFT (interferential therapy), neck strengthening exercises, and ROM (range of motion) exercises.

For further advice regarding surgery, please provide me with the above-asked details. Consult with your specialist doctor and plan for surgery, if advised.

Hello,

Welcome back to icliniq.com.

I could not open the attachment due to some technical error.

Since you do not have any symptoms in the arm, the nerve root irritation is either not there or is not severe. Good that you are responding to TENS. IFT is interferential therapy and is another modality to control pain. Try cervical traction too. Are you taking the medications prescribed?