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Have cervical spondylosis, neck pain, headache. Taking Tegretol and Tramadol. Need help

Hi Doc i have been diagnosed with cervical spondolisis,major neck pain ,headaches,even back & breast pain. Multiple degeneration in several discs.I get numbness in my arms & hands too,hardly sleep at night. The Specialist refuses to operate,says it won t help,i have arthritis in my neck.Gets very stiff,i do exercise and get a weekly neck & shoulder massage which offers temporary relief.When i walk i can feel the grinding of the joints together.I ran for 25 years with major falls too.I take Tegretol and Tramadol, no relief from pain. The Doctor has also slapped me onto an Anti- Depressant Citalopram .Can you please advise me further. Thank you Cheryl Karp 58 years young!
Asked On : Sun, 24 Mar 2013
Answers:  2 Views:  136
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

The conservative management of cervical spondylosis with radicular pains in upper limbs is as follows -

Rest: A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.

Medicines: Analgesic are needed in the acute phase. Once acute pain subsides, muscle relaxants are necessary to relieve the spasm.

Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.

Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful

Epidural steroids: are useful for patients with severe radicular pains in the limbs

Hope this information is helpful. Good day
Answered: Fri, 19 Jul 2013
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Your problem is due to severe osteoartheritis changes in cervical vartabrae producing irritation or pressure on nerves giving rise to this problem.
As this is not operable then physiotherapy is only option to get some relief from your problem
Go for physiotherapy daily and regularly.
Go for short way diathermy.
Go for cervical traction.
If your orthopedic surgeon is of opinion of applying Cervical collar, go for it.
Take high dose of calcium, Vitamin A, and D supplements.
Ok and take care.
Answered: Fri, 19 Jul 2013
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