a 50 ur old male with restricted movement of neck upwards downwards left and right. last one year. kco of htn no Ho of diabetes. further investigation and treatment

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Stiff neck D/d 1 cervical spondylitis 2 cervical rib 3 web neck He may be having chr stiffness hence no free movements go for xray cervical spines and hrct cervical region R/o osteolesthiasis Rx muscle relaxants NSAIDs Local spasm relievers rubnificients Physiotherapy neck

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Consider possibilities 1 Ankylosing spondylitis 2 Diffuse idiopathic skeletal hyperostosis Clinical evaluation 1 chest expansion 2 Lumbosacral spine flexion 3 Pain dorsolumbar area 4 Hip movements Investigations 1 xray thoracolumbar spine ap and lateral view 2 xray pelvis with both hips CBC esr RA factor Uric acid Crp If suggestive of ankylosing spondylitis do HLA B 27 typing

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I don't think so it's CS or Dystonia because it looks restricted movement with whole spine in video there is not free rotation of whole axial skeleton. Its AS do Xray whole spine focus on Cervical spine and in lab do HLAB27. Go with Physiotherapy including Allopathic Rx includes muscle relaxant and NSAID.

Cervical dystonia Muscle relaxant Inj Botox may be helpful

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X-ray cervical spines AP and lateral ? Cervical spondylitis Tab Voveron sr 100 1 hs for 10 days Physiotherapy Thin pillow No heavyweight lifting No bending of neck forward

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Whole paraspinal muscle sever spasm due restricted movement.facia also contracted.spinal cord compression because pt. Slightly obese.may be HLA 27 positive.but pt.age is 50 years.and problem before one year.actually ankylosing spondolysis start from 18 yr and .then if positive HLA 27 pt.unable to walk and all jounts i volve like whole hip ,knee and shoulder and thoracic area also .i think its not ankylosing spondolysis only spinal problem .and subsided by physiotherapy definately.

Cervical spine ap lateral CBC ESR RA test aso test hla 27

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, महानारायण महामासादि तेल को मिलाकर मालिश करें और फिर उस पर उपनाह बांध दें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Cervical dystonia, muscle relaxants advised like myoril plus

The symptoms aare showing severe stiffness of back of neck muscles.do a test for HLA.B26.if positive may confirm about ankylosing spondylitis. Do regular physiotherapy. Ultrasound+tens and muscle stimulator. With neck stretching carefully.and heating.

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