What is the treatment for severe neck pain and discomfort?

Question

Hello doctor,

I am a 29-year-old male. I have severe neck pain. I have taken multiple x-ray and MRI from different laboratories but they provide conflicting reports. I am getting quite stressed out as to what is causing the discomfort and pain and what are the treatments I should go for. I have seen a neurologist, and he referred me to a physiotherapist. I have also seen an orthopedic surgeon, and he prescribed a neck brace. I have been going to different physiotherapists with not much improvements. I have attached my reports.

Answer 1

Hello,

Welcome to icliniq.com.

Your spine MRI is normal (attachment removed to protect patient identity). So, there is no reason to panic. It seems to be just a musculoskeletal pain (muscle spasm).

I recommend taking Ibuprofen coupled with Flexeril (Cyclobenzaprine). Physiotherapy can help too. Gabapentin is another treatment to consider if your situation does not improve with the above treatment.

I remain at your disposal for any further questions whenever you need.

Answer 2

Hello,

Welcome back to icliniq.com.

I reviewed carefully your cervical spine MRI reports (attachments removed to protect patient identity) and would explain that it shows a mild disc protrusion, which is causing local pain in the neck. I recommend taking Ibuprofen and Flexeril. A cervical collar can help for a couple of weeks.

But nothing serious is going on. Your situation is going to improve in a couple of weeks. I recommend avoiding abrupt neck movements and heavy weights lifting. It is also necessary to use an orthopedic pillow.

I hope this helps.