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Suggest treatment for cervical spondylosis

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Posted on Wed, 21 May 2014
Question: Hi - I recently had MRI and it found at c4-c5 - left uncovertebral hypertrophy resulting in moderate left neural foraminal stenosis. At c6-c7 - there is prominent left uncovertebral hypertrophy and posterior disc osteophyte complex eccentric to the left resulting in effacement of the left anterior CSF column and impression on the left ventrolateral cord. There is severel left neural foraminal stenosis.
Can you explain this to me and suggest what I can do to deal with this situation? What exercises? Also - what type of mattress and pillow do you suggest?
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Answered by Dr. Praveen Tayal (5 hours later)
Brief Answer:
Due to Cervical Spondylosis

Detailed Answer:
Hello,
Thanks for posting your query.
The description you have given above goes with Cervical Spondylosis.
You have features of Disc Prolapse at C4-C5 and C6-C7 levels with moderately severe compromise of neural foramen. This causes a nerve root compression causing the symptoms.

Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Methylcobalamin supplements are also recommended for nerve compression symptoms.
4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. You can avoid using a pillow.
You can use a firm cotton mattress that will provide a good back support.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12092 Questions

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Suggest treatment for cervical spondylosis

Brief Answer: Due to Cervical Spondylosis Detailed Answer: Hello, Thanks for posting your query. The description you have given above goes with Cervical Spondylosis. You have features of Disc Prolapse at C4-C5 and C6-C7 levels with moderately severe compromise of neural foramen. This causes a nerve root compression causing the symptoms. Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression. Treatment includes 1. Use of cervical collar helps in immobilisation and brings relief. 2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms. 4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. 6. You can avoid using a pillow. You can use a firm cotton mattress that will provide a good back support. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal