Spinal stenosis causes narrowing of the bones that make up the spinal canals, or the areas through which the spinal cord and spinal nerves pass. spinal stenosis causes symptoms only when the spinal nerves or spinal cord are compressed. Depending on the cause of spinal stenosis, symptoms may gradually become worse over time. Spinal stenosis in the neck is called cervical spinal stenosis. C6 and C7 are two vertebrae in the cervical spine that may be affected by spinal stenosis. 1.Arm and Shoulder Pain Cervical spinal stenosis that causes nerve compression can result in upper body pain.stenosis at the C6 and C7 levels may feel this pain in the shoulders, outer part of the upper and lower arm, and even into the hand portions of the thumb, index and middle fingers, in particular. Because spinal stenosis does not always occur evenly on both sides of the body, this pain may be worse in one arm or shoulder. Cervical spinal stenosis pain may be relieved by sitting or leaning forward. 2.Muscle spasticity can cause spasms in the legs or make them more difficult to control. Other related problems include heightened reflexes in the legs and difficulty standing or walking. 3.vertigo also because of cervical stenosis or narrowing. you can prevent this pain by some precautions . 1.eat rich diet of vit B12 and supplements.eat calcium,iron and fibres diet properly. 2.Cervical stenosis exercises involve stretching the bones in the cervical spine as well as stretching and strengthening the muscles in the neck to provide support and stability to the spine. Most exercises are convenient and easy enough that you can do them in most casual settings, such as in your office chair or on the couch at home. 3.The scalene stretch helps improve range of motion in your neck and stretch out your neck muscles and tendons. To do this stretch, sit upright in a chair with your back straight and your eyes looking forward. Tuck your chin down slightly toward your chest. Bend your head to the left. You should feel a stretch in the right side of your neck. Hold this position for 20 seconds, then rest. Repeat the exercise, this time bending your head to the right to stretch the left side of your neck. Repeat three to four times for each side of your neck. 4.To perform the axial extension exercise, lie on the floor on your back. Position your head so you’re looking straight up at the ceiling. Take a deep breath and tuck your chin down toward your chest. At the same time, push your neck down against the ground. Hold this position for 20 seconds, then relax. Repeat two to three more times as part of your exercise routine. You can also perform this exercise standing up by holding a wooden rod behind your neck and shoulders and pressing your neck backwards so the back of your head protrudes beyond the rod. 5.This exercise is effective for building up the muscles in the upper back and neck which support your spine. Begin by standing or sitting with your back straight and your hands to your sides. Slowly lift your shoulders as high as they will go, then hold them in that position for one second. Let your shoulders back down and repeat the same process 10 to 15 times as part of your exercise. 6.Cervical stenosis exercises are designed to help improve your range of motion, but you may feel slight pain as you rotate your neck in certain directions. Focus on moving your neck in the directions where you don’t feel pain until your neck has loosened up enough to try other directions if,still pain remain same then you can consult for further management but exercise and physical therapy is most helpful for your proper then the medicine.