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Suggest treatment for severe pain in the neck and left arm

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Posted on Mon, 21 Nov 2016
Question: I had a ct scan as I'm having severe pain in neck and left arm and leg going numb..this is what report said....
C3/4: There is degenerative change of the right facet joint causing moderate
right foraminal stenosis which has progressed from prior study.
C4/5: There is bilateral moderate neural foraminal stenosis related to facet
degenerative changes. Central herniation seen on 2007 MRI has likely been
resected and is no longer apparent.
What treatment would you recommend ?
doctor
Answered by Dr. Praveen Tayal (28 minutes later)
Brief Answer:
Cervical isometric exercises will help.

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 levels with moderately severe compromise of neural foramen.
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/ watching TV or working on computer.
Avoid prolonged sitting / leaning forward/ 2 wheeler driving for long distances.

A course of Muscle relaxants, interferential therapy (IFT) and/or Intermittent Cervical Traction (ICT) for a week followed by exercises will help you.

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 : 12295 Questions

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Suggest treatment for severe pain in the neck and left arm

Brief Answer: Cervical isometric exercises will help. 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 levels with moderately severe compromise of neural foramen. 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/ watching TV or working on computer. Avoid prolonged sitting / leaning forward/ 2 wheeler driving for long distances. A course of Muscle relaxants, interferential therapy (IFT) and/or Intermittent Cervical Traction (ICT) for a week followed by exercises will help you. 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