Hi, thanks for writing to HCM.
The conservative treatment for degenerative changes in the neck is as follows -
Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of
nerve roots with movement. Soft collars should only be worn for
short periods of time, because long-term wear can decrease the strength of neck muscles.
Medicines:
Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or
PREGABALIN will help in alleviating the
neuropathic pain.
Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.
Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful
Hope this information is helpful. Good day