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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Tramadol Sufficient For Chronic Neck Pain, Arthritis And Reduced Cervical Lordosis?

Hi, i have a Radiology Report that says i have: 'reduced cervical lordosis' , disc space narrowing at C5/6 with osteophytes (osteophytes also C4). Thoracic kyphosic is exaggerated . Osteophytes at L3 to L5.

I am 50 yo woman, active, but have lived with chronic neck pain for years. have tried chiro, physio, osteo, acupun and pain relief panadeine extra provides little relief. My GP says i have mild arthritis and will not prescribe anything stronger than Tramadol or muscle relaxants ie Valium when i think i need it. Can you please explain firstly what my Radiology report means and what treatment you would prescribe .....
posted on Sun, 15 Dec 2013
Twitter Sun, 15 Dec 2013 Answered on
Twitter Mon, 16 Dec 2013 Last reviewed on
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Rheumatologist,  's  Response
Hi
I think that your GP is right that you’re having osteoarthritis of neck vertebra. Osteophytes and disc space narrowing are characteristic of osteoarthritis. This is mostly a disease of aging and our lifestyle.

Physiotherapy, hot water fomentation, local application of menthol or counter-irritant is helpful. If not better, one can try Paracetamol and/or Tramadol also. There are different other drugs like diacerein etc. available, but none of them are 100% proven.
Hope this will helpful.

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Is Tramadol Sufficient For Chronic Neck Pain, Arthritis And Reduced Cervical Lordosis?

Hi I think that your GP is right that you’re having osteoarthritis of neck vertebra. Osteophytes and disc space narrowing are characteristic of osteoarthritis. This is mostly a disease of aging and our lifestyle. Physiotherapy, hot water fomentation, local application of menthol or counter-irritant is helpful. If not better, one can try Paracetamol and/or Tramadol also. There are different other drugs like diacerein etc. available, but none of them are 100% proven. Hope this will helpful.