Mri cervical spine (h/o neck pain radiating to right upper limb) scanacquired on a ge 1.5 tesla hdxt 16 channel 23x machine. T1w, t2w sequences were taken sagittal and axial planes. Findings: loss of cervical spine lordosis seen- consistent with fibro-muscular spasm. Mild disc bulge is seen at c5-c6 and c6-c7 level with mild indentation on theca sac and compression on bilateral ventral nerve roots. Vertebral bodies are otherwise normal in size, shape, alignment and signal intensity. No evidence of osseous destruction seen. No compression / collapse is seen at any level. Bony central spinal canal is normal in dimension. The lower end of spinal cord, conusmedullaris and nerve root of caudaequina appear normal. Thecal sac is normal and csf demonstrates normal signal intensity. Craniovertebral junction is normal. No intraspinal mass or pre/paravertebral collection seen. Opinion: mri reveals loss of cervical spine curvature with mild spondylitis changes. Mild disc bulge at c5-c6 and c6-c7 level with mild indentation on theca sac and compression on bilateral ventral nerve roots. Suggest clinical correlation. Dr. Sonia. B dhanadia Dr. Ankush don't Dr. Ekta yadav consultant radiologistconsultant radiologist consultant radiologist * this report is not for medicolegal purpose. * discrepancies due to technical or typing errors should be reported for correction within seven days. * no compensation liability stands.

Dr. Julie Mercy J DavidPhysiotherapist26yrs exp

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Neck pain 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 bytherapist for quick relief. 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. 1.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. 2.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. 3.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. 4.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.  

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