Having severe neck pain with radting pain to right upper limb. Last week suddenly felt numbness in hand. Took xray and mri.Attached the reports kindly advice what is the issue and how to move forward.
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This treatment is being suggested on bases of the information provided.
However I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
-Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
-(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Keep no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for the neck & shoulders.
--.(Take help of physiotherapist or you can visit my you tube channel Dr NC Gupta.) & see me and my yoga; & yoga simplified.
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
DMC 3624
Answered
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Mild disc bulge is seen according to your MRI.
But there is no significant nerve root compression.
Loss of normal lumbar lordosis is seen.
So can be treated conservatively.
Next Steps
Avoid using pillow while sleeping.
Instead roll a towel or bed sheet and keep under your neck.
Avoid movements of bending the neck
Take the following medicines
T. Zerodol P 1-0-1
T. Pan 40 mg 1-0-0
for 5 days
T. Pregaba M 75 mg 0-0-1
for 15 days
Give a trial of physiotherapy.. avoid bending forward. Avoid pillow. Learn neck extension physiotherapy and continue for 4-5 months. Meanwhile if pain is not relieved/ worsens consult orthopedic spine surgeon/ neurosurgeon
MRI shows stenosis due to disc bulging at c3-4 and c5-6 .
Complaints will be radiating pain and numbness / tingling sensations with weakness in arm
Kindly start using a soft cervical collar
Avoid pillow will sleeping
Start physiotherapy for neck strengthening exercises
Take tab pregabalin 75 twice a day for 3 days followed by at night time only for 7 days (some patients complaint of drowsiness, so advised to avoid outdoor activities)
If this does not provide any relief , kindly consult an orthopaedic spine surgeon or neurosurgeon in your town for surgical intervention
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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