Q. What can be done for pain in neck, hand, and weakness due to degenerative changes?

Answered by
Dr. Gerry Mike Palisoc
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 23, 2022

Hello doctor,

I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it.



Welcome to

I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you.

The Probable causes:

Age-related changes.

Investigations to be done:

Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium.

Differential diagnosis:

Cervical arthropathy due to RA or TB.

Probable diagnosis:

Degenerative cervical spine disease.

Treatment plan:

Pain medications, NSAID and Gabapentin.

Preventive measures:

Exercises and rehabilitative medicine, physical therapy.

Thank you doctor,

Will you please write medicines and clear things for six weeks, because I have consulted many doctors. I have also attached the medicines I have taken but I did not get any relief.



Welcome back to

I have reviewed once again the medications given to you (attachment removed to protect patient identity). As for me, they are all good and should be effective if taken religiously and without fail. I would also suggest taking Gabapentin 200 mg once a day for two days and gradually increased to 200 mg twice a day for two more days then 200 mg thrice a day as your maintenance. Please keep in mind that 600 mg is the lowest possible dose that this drug should effect. It would be warranted to keep this in increasing dose to get your body used to the drug and achieve effectiveness without having side effects of dizziness and drowsiness. If side effects ensues then you have to lower the dose from the starting dose and start all over again. This should help you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
What can be done for pain in neck, hand, and weakness due to degenerative changes?

Exercises and rehabilitative medicine, physical therapy ...   Read full

What is the issue with my upper back?

Let us discuss your neck and lower back separately ... It looks like you have axial neck pain arising from degenerative disc disease at multiple levels from C3 to C6 ... Your lumbar spine MRI report (attachment removed to pro...   Read full

Please explain my MRI report in layman's term.

At C4-C5 there is degenerative disc disease with disc space narrowing ... There is a broad-based focal disc protrusion extending from the right to the left lateral r...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»
Osteoporosis: an Important Public Health Problem
Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa...  Read more»

Ask your health query to a doctor online?

Ask a Neuro Surgeon Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.