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Cervical spondylosis, surgery, steroid injections - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   Good evening
User :   good afternoon sir
Doctor :   How can I help you?
User :   my mother has spondilose problem
Doctor :   Do you mean spondylosis?
User :   yes
Doctor :   Ok
User :   any suggestion to relief
Doctor :   May I know her age?
Doctor :   Since when is she having this problem?
User :   50 yrs
User :   from last 2-3 yrs
Doctor :   On which part of the spine is she having the pain?
Doctor :   Is she attained menopause?
User :   from neck to the shoulder
Doctor :   Has she attained menopause?
User :   i don't know much about that3
Doctor :   Ok
Doctor :   Does she have other symptoms such as numbness of hands, pins and needle sensation, weakness of hands and limbs?
Doctor :   Is she on medications for the same?
User :   yes...only one side...neck to the right hand
Doctor :   Ok
Doctor :   Is she on medications for the same?
User :   yes
Doctor :   Ok
Doctor :   Has the pain reduced with these medications?
Doctor :   Does she have history of diabetes, high blood pressure, kidney problems?
Doctor :   Are you there?
User :   yes sir
User :   she has low BP
User :   no kidney problems
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Cervical spondylosis is a term given when there is degeneration of the cervical spinal bones.
Doctor :   This is a chronic problem - meaning a long term problem. Implying the symptoms can be controlled and completely not reversible.
Doctor :   Treatment is based on treating the cause for the problem and how severe the symptoms are
Doctor :   It would have been better if you had mentioned about menopause history, as menopause will significantly affect cervical spondylosis.
Doctor :   The treatment strategies that are needed are as follows
Doctor :   Are you following?
User :   yes
Doctor :   1. She will need spend more time in rest. Absolutely no strenuous activities, that involve lifting weight, bending and lifting and so on.
Doctor :   This is most crucial
User :   k sir
Doctor :   2. If she is under severe pain, then the following are absolutely necessary
Doctor :   a. Local antiinflammatory measures such as heat application, volini gel or spray application or pain balm application
Doctor :   b. Oral pain relieving medications such as Tab. Ibuprofen 400 mg twice a day after food for 3-5 days
Doctor :   3. You may discuss with your doctor and use cervical soft collars
Doctor :   c. Cervical collars if needed have to be worn at all times when in severe pain.
Doctor :   3. Along with this, she will need calcicum and vitamin D supplements.
Doctor :   4. Diet rich in calcium - milk, non vegetarian diet, green leafy vegetables, cereals and so on.
Doctor :   * you can advise your mother to spend a few hours under the sun if feasible, they will help in production of vitamin D which can contribute to reducing bone degeneration.
Doctor :   5. Physiotherapy and neck strengthening exercises.
Doctor :   These are the routinely used treatment suggested for patients with cervical spondylosis.
Doctor :   Are you following?
User :   yes sir
Doctor :   If the condition is in extreme,
Doctor :   which is probably the case if she has severe persisting pain, weakness of the limbs, absence of sensations
Doctor :   more extensive management strategies are needed.
Doctor :   They are
Doctor :   1. Regular physiotherapy
Doctor :   2. Regular pain relieving medications
Doctor :   3. Steriod injections
Doctor :   4. Surgical treatment.
Doctor :   So watch out for these symptoms, follow up with orthopedician / spine consultant.
Doctor :   Have you followed what I have suggested?
User :   yes sir
User :   a very very thanks for ur suggestion
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Have a nice day
User :   same to u sir
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