Question

I am suffering from back pain and neck pain from past 3-4 months. Intensity varies from low to high. On recommendation of family physician I had done xray of cervical spine. Below is summary of result:
Partial loss of normal lordosis.
Marginal osteophytes are noted.
Vertebrae appear normal in shape, size and contour.
Alignment is proper.
Intervertebral joint spaces appear unremarkable.
Spinal canal is within normal limits.
Posterior elements appear unremarkable.
Please correlate clinically.
Normal lordosis is maintained.
Multilevel marginal osteophytes are noted.
Cortical margin accentuation and central compression are noted at multiple levels.
Alignment is proper.
L5-S1 disc space appears reduced.
Intervertebral joint spaces elsewhere appear unremarkable.
Spinal canal is within normal limits.
Posterior elements appear unremarkable.
IMPRESSION: Osteodegenerative changes with osteoporosis.
Please help me to understand the problem and advice treatment Accordingly.

Dr.Julie Mercy J David · Accepted Answer

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.
Cervical spondylosis – chronic condition with radiating pain
As your rightly said 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 seconds. 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.

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