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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Neck Pain Even After Doing Exercise. Pain Floats From Neck, Lower Back, Shoulder, Upper Chest, Behind Head. Advice?

Hello Sir, I am 42yrs old i am sufering from neck pain from past one year, i have met general/neuro/ortho specailists, all suggest to do exercise, I have taken the x-ray and MRI scan also it says small focal posterocentral discal protrusion seen abuting the thecal sac at c4-c4 & c4-c5. central spine canal & nerve root canals are at adequate dimensions, Cervical cord at this level appears normal. My problem is i am doing regular exercise suggest by doctor/physo but still on & off pain, some time it is unbearable. Pain floats in my neck,lower back,shoulder,upper chest,left hand,behind my head. I request you to give me a good suggestion please.
Mon, 18 Jun 2012
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Physical Therapist or Physiotherapist 's  Response
Hello there,
As your clinical signs and MRI findings are suggestive of postero Central disc protrusion this can be managed conservatively by neck extension exercises along with Interferential therapy and moist heat therapy. few sessions of short wave diathermy will also helpful but not continuously. A physiotherapist certified and experienced enough in Mc.Kenzie manual therapy techniques of spine will be the best person to take you out of your pain. Traction therapy is also helpful to reduce the radiation.
Combination of Physiotherapy as mentioned above and some NSAID (non steroidal anti inflammatory drugs) (only in acute stage) and some nerve vitamin tablets give a significant relief in this case..
If this does not gives you any change then you can opt for OZONE THERAPY and in worst case (like herniation stage) surgery is the only solution......

Wish you a pain free and cherishing life soon....
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Suffering From Neck Pain Even After Doing Exercise. Pain Floats From Neck, Lower Back, Shoulder, Upper Chest, Behind Head. Advice?

Hello there, As your clinical signs and MRI findings are suggestive of postero Central disc protrusion this can be managed conservatively by neck extension exercises along with Interferential therapy and moist heat therapy. few sessions of short wave diathermy will also helpful but not continuously. A physiotherapist certified and experienced enough in Mc.Kenzie manual therapy techniques of spine will be the best person to take you out of your pain. Traction therapy is also helpful to reduce the radiation. Combination of Physiotherapy as mentioned above and some NSAID (non steroidal anti inflammatory drugs) (only in acute stage) and some nerve vitamin tablets give a significant relief in this case.. If this does not gives you any change then you can opt for OZONE THERAPY and in worst case (like herniation stage) surgery is the only solution...... Wish you a pain free and cherishing life soon....