Hello Doctor, I have cervical spondylitis. From past 4 days I have pain in my back neck and front left side shoulder which is passing down to my chest. I feel it's some pinched nerve problem. The pain is coming to my throat also. I took medicine tolpidol. Brufen.flexura d and now neurobion forte but nothing is working on me. I feel better only when I take hot water shower. I also have fatty liver issue and Bp problem. should I ask Dr. to give injection as oral medicine are not helping me. I am really having discomfort while sleeping as I feel pain and spasm in chest area and sometimes burning sensation in back head. Please help what should I do Its been 5 days now pain is not going.

Dr. Julie Mercy J David RajaPhysiotherapist20yrs exp

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Spondylitis is one of the most common causes of back and neck pain, and results from inflammation of the vertebral joints. It is curable 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 to reduce the pain and feel relaxed and comfortable. You shall also do hot water fermentation that would improve the blood circulation to the painful area and thereby the pain would be reduced. You shall use cervical collar which would help you to reduce the radiating pain and also that would improve the cervical angle and improve the anatomical posture. The pain actually triggers due to nerve compression and that would definitely improve by wearing a cervical collar. You have to go for intermittent cervical traction and also you can do interferential therapy. 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 exercises and also to use cervical collar to improve the contour of your muscle texture and to improve the cervical angle so that the posture is improved and it also gives you comfort and relieves the pain. It looks like you are anaemic. That's the reason your body becomes tired though you had good sleep during the night. The pain in the shoulder and back shows that your muscles become too tired especially in the area of the body where you get maximum body weight (ie. Back) and shoulder which moves excessively during the day for any activity which we do with our hand. If the pain subsides after the day starts ie. Once your metabolic activity starts in the body then you become alright, so you can take bath in warm water which would help you to break the tiredness. And also you can check with your calcium & vitamin levels in your body by consulting a general physician. You can also improve the protein diet in your body. Whenever you do breathing in and out you will feel pain in the upper back, middle back and also the pain will radiate upwards until the shoulder and also up to the chest. You might feel chest congestion and tightness and that be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and shoulder. Drink hot water to reduce the gastric trouble. 

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