How to manage cervical spondylosis symptoms?

Question

Hello doctor,

I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI (Magnetic Resonance Imaging) 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.

Answer 1

Hi,

Welcome to icliniq.com.

I have read your concern and seen the MRI (Magnetic Resonance Imaging) 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 tothe normal curve (this signifies muscle strain).

The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc, bones, and joint attachments It is a good thing that you do not have any motor weakness (which signifies intact nerves). This usually resolves with pain medications and rehabilitative medicine in six weeks. This should help you.

I hope this helps you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

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, gradually increasing to 200 mg twice a day for two more days, and 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 affect.

It would be warranted to keep this at an increasing dose to get your body used to the drug and achieve effectiveness without having side effects of dizziness and drowsiness. If side effects ensue, then you have to lower the dose from the starting dose and start all over again. This should help you.

I hope this helps you.

Thank you.