Hi doctors, i'm karthik, age 33, weight 72, height 5'7. Actually from last 4 weeks im suffering from severe neck pain that has lead to shoulder as well, so 2 weeks before I visited dr, he has said that muscles got stiffed and has prescribed tabs and physio. Even after that no difference so when I took xray, he saif there is a mild gap in the bone and ruled out saying i'm suffering from cervical spondylosis. He has given meds: ultracet, renerve, pragalbin (fyzer company) 75 mg. Now problem is stiffness has gone but the nerve pain is uncontrolled while sleeping, walking and I see these tabs are not showing any difference. So now he is asking to get mri c spine. My question is even after using such power meds there is no difference, so can you say anything serious of this?
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If that doesn't work please follow these herbal combinations ras raj ras 1 tablet twice a day vatari awleh 10 gm twice a day. Â
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Well, it could be something to do with disc problems. Get yourself checked with another competent physiotherapist. Â
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4 weeks old pain. Now needs work up. Muscular pain/sprains wud have subsided by this time. If you have pain that goes to shoulder raises strong doubts about nerve impingement! nerve impingement can be seen only on mri. And mri also helps to rule out other diseases that can cause nerve impingement! so its justified. Give rest to neck. Soft collar can help. You may need blood tests to rule out infection/tb and other diseases. Rest of treatment depends after mri. Good luck. Â
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Do?s and don?ts for neck pain: do?s ?do turn to one side while getting up from supine position. ?use hot pack for your neck. ?use towel roll under the neck during supine lying. ?use pillow of normal thickness in side lying position. ?do isometrics for neck. ?arms should be supported in one of the three positions:?? hands in pocket ? ?hands on thighs/or on table. ?? hand behind back with elbow straight. ?in order to avoid holding the head in the same position for long periods, take break while driving, watching tv or working on a computer. ?use a seat belt when in a car. ?use cervical collar in case of giddiness. ?retraction of shoulders every hour: move shoulders backward. Don?t?s ?don?t sleep straight. ?don t? bend your neck. ?avoid hanging of arms. ?avoid sitting sitting for prolonged prolonged period of time in stressful stressful postures postures. ?do not lift heavy weights on head or back. ?do not drive for long hours; take breaks. ?avoid habit of holding the telephone on one shoulder and leaning at it for long time. ?do not take many pillows below the neck and shoulder while sleeping, ?in order to turn around, do not twist your neck or the body; instead turn around by moving your feet first. Cervical spondylosis ? chronic condition with radiating pain this is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. You have to go for traction and also you can do ift. Please consult the near by therapist for quick relief. Since you have pain for more than 10 years it is suggestible to go for cervical muscle strengthening exercise. Use collar will definitely be helpful for him to maintain the good posture. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm. Neck tilt: from the sitting position, tilt your head down so your chin touches your chest. Hold this position for 5 second s. Return to the starting position and repeat. Do this five times. Side-to-side neck tilt. From the same starting position, tilt you neck toward one shoulder, leading with your ear. Hold for 5 seconds and then return to the starting position. Do this five times on each side. Neck turn. Look straight ahead, then turn your head to one side, keeping your chin at the same level. Do this five times on each side. Neck stretch. Holding the rest of your body straight, push your chin forward, stretching your throat. Hold for 5 seconds. From the same starting position, push your chin backward and hold for 5 seconds. Do the forward and backward stretch five times each. If any of these exercises cause severe pain or weakness in your hands or arms, stop right away and talk with your doctor.We suggest you to wear cervical collar which will help you to improve the cervical angle and also it definitely helps you to improve the neck posture due to which your neck pain is triggered more. The importance of wearing cervical collar is to give good stability to the neck and also it definitely prevents you to have excess neck movements which makes the condition worse. If you wear cervical collar you cannot turn your neck as you like which itself will help you to have better functioning of the cervical spine. This cervical soft collar what we are suggesting for you is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Â
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A person can ease the symptoms of cervical pain/spondylosis with a few simple neck exercises. 1. Neck stretch keep your body straight. Push your chin forward in a way that stretches the throat. Softly tense the neck muscles. Hold this for 5 seconds. Return your head to its center position. Push your head back with the chin held high, and hold for 5 seconds. Carry out 5 repetitions. 2. Neck tilt tilt your head forward so that the chin touches the chest. Softly tense the neck muscles. Hold this for 5 seconds. Return the head to a neutral position. Carry out 5 repetitions. 3. Neck tilt (side-to-side) lean your head down towards either shoulder, leading with the ear. Softly tense the neck muscles. Hold this for 5 seconds. Return your head to the center and repeat on the other shoulder. Carry out 5 repetitions. 4. Neck turn turn your head to one side as far as it remains comfortable, being sure to keep your chin at a level height. Tense your neck muscles for 5 seconds. Return the head to a central position. Repeat on the opposite side. Repeat this exercise 5 times on each side. Â
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As your description suggests you have cervical disc, if its small then you will receive a course of steroids or a injection near the nerve. It its big disc causing problem, your doctor may advise you surgery as well. I hope that helps. Â
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Its probably cervical spondylitis due to bad posture of body. It will not heal with only medicines. Proper exercise and lifestyle changes can heal it. Thanks. Â
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