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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For Loss Of Normal Cervical Lordosis?

Hi I was wondering if you could give me some information on loss of normal cervical lordosis, most commonly due to muscular spasm with a minor reduction in disc height C4/5 nad C5/C6 but with-out significant osteophylosis. No focal bony abnormality. I have twsted/bent urinary tube ?& as a result I have loss of bladder contrl when I walk, cough, sneeze etc
I hope you can tell me more about this & if there is anything that can be done. I do have a sheet of exercises to complete & pelvic exercises. I am very fit, not over weight & the exercises are not working
I was meant to have physiotherapy at the local hospital but as I work I coulf not get time for it
Thank you
Rita
Mon, 12 Jun 2017
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Orthopaedic Surgeon 's  Response
Hello,

Normally, the cervical spine should have some lordosis like the lumbar part. In muscle spasms the cervical spine becomes straight by losing the normal lordosis. The muscle spasm might be from a trauma, a distortion of the neck.

Usually, I prescribe my patient medication with any kind of muscle relaxant drugs by mouth and locally as a gel to massage it twice a day. After the second day that spasm is released a little bit so I recommend some exercises of the neck to lose up this stiffness without causing any pain. These are range of motion movement of the neck, back and front, and sideway, every day by increasing the angle. By 1 week you should be fine.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Edvin Selmani
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What Treatment To Be Taken For Loss Of Normal Cervical Lordosis?

Hello, Normally, the cervical spine should have some lordosis like the lumbar part. In muscle spasms the cervical spine becomes straight by losing the normal lordosis. The muscle spasm might be from a trauma, a distortion of the neck. Usually, I prescribe my patient medication with any kind of muscle relaxant drugs by mouth and locally as a gel to massage it twice a day. After the second day that spasm is released a little bit so I recommend some exercises of the neck to lose up this stiffness without causing any pain. These are range of motion movement of the neck, back and front, and sideway, every day by increasing the angle. By 1 week you should be fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Edvin Selmani