Cervical Spondylosis

60yrs old female is having neck pain radiculating to left uppar limb since 2 months. Tingling numbness present in left little finger only. patient is hypertensive. here is her scans attached. what is the diagnosis and treatment?

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Wrist joint is arthritic Cervical spine show multiple level degenerative disc disease with posterior disc osteophyte complexes The symptoms could be lower cervical root irritation Ulnar neuropathy another possibility Clinical correlation If in doubt,NCS,if not peripheral neuropathy,likely to be cervical disc Final confirmation by MRI cervical spine Analgesics Muscle relaxants Calcium vitD Gabapentin will help Soft cervical collar Isometric neck exercises
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Lisa of lordosis of cervical spine, due to para spinal muscle spasm . Narrowing of IVD space between C4-5 Osteophytosis , calcification of anterior intestinal ligaments . Suggestive of cervical spondylosis, disc prolapse and root compression Suggest MRI Rest , cervical traction , NSAIDS, pregabalin
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Spondylotic chages Reduction of space c4 c5 c6 Loss of lordosis Flattening the curve of cervical spine Compression of nerve or disc cause pain radiating in hand
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Disc space C34 is reduced Osteophytes present C2345 Cervical Spondylitis
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Do a cervical spine MRI and please mention exact patient complaints
Due to disc bulge it may resulting radiating pain. Need to MRI for proper investigation. & go for neck core exercises & for radiating pain give nerve stretch & nerve flossing of ulnar nerve.

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