Hi there, Thanks for your question at HCM At first the kindof spine pain needs to be differentiated. Scenario 1-only neck pain(axial pain) with no radiation to the arms and no tingling or numbness in the upper limbs. Such a scenario suggests age related degenrative changes or muscle strain or pull. Muslce strain or pull usually gets better with rest, medicines and physiotherapy over 2 to 4 weeks. If its degenrative problem, neck pain can linger on for longer duration. can get better with exercises, PT and postural adjustments with supplementary analgesics for pain. Scenario 2 neck pain associated with arm pain or numbness and tingling, with unsteadyness in gait, walking disturbance( all suggest compression of neural structures) etc- here if the pain does not respond over 8 to 12 weeks, will requuire interventions like epidural. nerve root steroid injections or surgery ( last resort) to relieve compression. Sine in your case , the MRI shows multiple level spine degeneration ( in form disc herniation) sustained relief cannot be promised. As of today we have no medical treatment which can reverse age related changes) like disc degeration) Hence some amount of neck pain is bound to persist over time. If evdinece of compression is present , surgery can provide relief of compression related pain and symptoms, Hope this answers your question All the best regards Dr.SBK