A 70YR FEMALE HAVING FREQUENT PAIN NECK AND HEAVINESS HEAD. KNOW CASE OF HYPERTENSION AND HYPOTHYROIDISM (CONTROL). HISTORY OF VERTIGO NOT THERE. X-RAY ATTACHED. PLEASE SUGGEST MANAGEMENT.

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Osteoporosis/cervical spondylosis she is old age with paravertebral musclespasm could be the reason for pain. As she is pt of hypertension and hypothyroidism reason for heaviness and giddiness should be look for by mri brain angio. In this age vestibular functions are affected and are known to give vertigo should be screened for mimears. So management depends on all one by one symptoms .

C5/6 degenerative disc disease with radiculopathy Disc osteophyte complex posterioly compressing the roots Analgesics Muscle relaxants Calcium vitD Gabapentin will help Soft cervical collar Isometric neck exercises

Loss of cervical lordosis. 5th cervical disc spaces reduced with maintained endplates Osteophytes present at C5C6. Cervical spondylosis.

Narrowing of disc space 5-6 better to treat conservatively if symptoms are not secere with some soft collar for 2weeks and then neck muscle strengthening exercises and analgesics

thanks sir
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Lower cervical degenerative spondylosis Mri if radiculopathy Conservative treatment only

Cervical spondylosis.Ultrasound and Tens to decrease pain.advice cervical collar if required.neck isometrics,correct sitting posture. Hot water fermentation also effective.

thanks
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Loss of lordosis c spine / spondylitis c 5 c 6 c 7/ physio / nsaids for pain / refer to neurosurgeon

Cervical spondylosis

C3 c4 degeneration.. check for muscle power of neck. If less grade then start with basic exercise... To reduce pain if muscle spasm go for moist heat therapy.

cab you please guide about exercise that to do?
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Physiotherapy managment is... 1.hot fomentation 2. Mackenzie extension exercise 3.intermitent cervical traction 4.isomatric exercises for neck extensor and side bending muscles

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