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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Neck Pain Due To Degenerative Changes In Cervical Spine

age:52 height:5 ,10 weight:80kg mri cervical-spine report fused c2-c3 vertebral bodies are seen,showing increased forward curvature.The disc space between them is vestigeal.There is also some oblique first degree anterior slip of c3 over c4 vertebra.The increased curvature because of their fusion has resulted in an anteriory curved cervical spinal cord.The upper and of odontoid process is how ever below the foramen magnum.Reactive stress related changes are seen in the lower survican spine because of upper cervical spine deformity resulting in oosteophyte formation and disc blugs partially at c5-c6.c5-c6 level shows a broad based disc bulge encroaching the neural foramina on both sides abutting the exiting nerve roots and indenting the thecal sac anteriorly.No signs bony erosion or paraspinal mass is seen.impression deformity upper survical spnie with reactive degenerative changes in the lower cervical spine as described.queries are severe pain in left side of neck and collar bone.
Tue, 30 Mar 2021
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General & Family Physician,  's  Response
Hello,

You are diagnosed with first degree anterior slip of C3 C4 vertebrae. The anterior curved cervical spine associated with degenerative changes in the lower cervical spine (C5C6). Presently you are experiencing severe pain in the neck (L) and collar bone. Get connected with a GP or Orthopedics. Your treatment will be given conservative treatment, NSAIDS and muscle relaxants.

Physical therapy and exercises under a Physical therapist are helpful. Ice or heat therapy (an ice pack or heated gel pack) is effective to reduce pain. Always take warm shower and rest between work. If conservative treatment fails, the treating doctor may recommend surgical resection of cervical osteophytes. To help improve the anterior curvature that is causing discomfort, exercises under a physical therapist can help to restore both function and strength to your spine and improve the shape of your cervical curve.

Your treating therapist may suggest extension compression, 2 way cervical traction to decrease chronic neck pain, it may take time. In the meantime, take home made food rich in minerals and protein. Maintain healthy weight. Avoid oily fatty food.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Suggest Treatment For Neck Pain Due To Degenerative Changes In Cervical Spine

Hello, You are diagnosed with first degree anterior slip of C3 C4 vertebrae. The anterior curved cervical spine associated with degenerative changes in the lower cervical spine (C5C6). Presently you are experiencing severe pain in the neck (L) and collar bone. Get connected with a GP or Orthopedics. Your treatment will be given conservative treatment, NSAIDS and muscle relaxants. Physical therapy and exercises under a Physical therapist are helpful. Ice or heat therapy (an ice pack or heated gel pack) is effective to reduce pain. Always take warm shower and rest between work. If conservative treatment fails, the treating doctor may recommend surgical resection of cervical osteophytes. To help improve the anterior curvature that is causing discomfort, exercises under a physical therapist can help to restore both function and strength to your spine and improve the shape of your cervical curve. Your treating therapist may suggest extension compression, 2 way cervical traction to decrease chronic neck pain, it may take time. In the meantime, take home made food rich in minerals and protein. Maintain healthy weight. Avoid oily fatty food. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician