Hi I have some cervical spine issues. Basically endplate osteophytic lipping C5 to C7 Exiting foramina severely stenosed towards left at C5/C6 and moderately towards right at C5/6 and towards left at C6/7. Diffuse disc bulge into the anterior spinal canal at C5/6 and C6/7 which causes effacement of thecal sac . Mild spinal canal stenosis . Results of MRI taken in 2008. A traumatic fishing trip in rough conditions was the event that caused neck and arm pain, headache etc.and awareness of issues. I am 56 year old female. Opted to do lifestyle changes rather than surgery as nerve conduction studies inconclusive. ie walking and swimming, keeping weight within normal limits. Loved my job but involved a lot of heavy work and overhead work so not working. Currently not taking any medication. Dont drink alcohol and non smoker. As rest of foramina generous I put this condition down to an incident in my early thirties where I was doing a standing transfer of a stroke patient who grabbed my neck and I strained against him instead of letting him fall to the floor. I remember making a GP apt. as I could not look over my right shoulder (trouble driving) and could only sleep on back without any pillows .Improved in a week. My question is this how often should I have follow up Xrays and is there anything else I can do to delay progression.