Hi, thanks for writing to HCM. All the MRI findings suggests cervical disc disease with radiculopathy. It indicates that a protruded cervical disc is causing compression over the nerve root producing pain in your hand. The initial management for this condition is conservative by the following means - Rest: A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage. - 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. Moist heat can be useful If your symptoms are not being relieved with the above measures, then an Epidural steroid injection may be helpful. Hope this information is helpful. Good day