Concluded Case

Cervical Pain

F/52 presented with ongoing pain in her shoulder region which extended to forearm. Initially she took painkillers as she thought it might be due to normal wear and tear of her shoulder muscle. The pain kept increasing and she even went to a (pehalwan) but got no relief. Further it was diagnosed that its cervical pain. The lady experiences ongoing pain in her right shoulder region and she cannot lift any sort of heavy objects ,nor she can raise her arm much. She used all kind of oils, sprays,warm compressions but got no relief. I advised her for some physiotherapy exercise. K/c/o mild hypothyroidism, osteoarthritis, hypertension. There was no peculiar mental symptom nor physical general . Dear drs help me regarding further treatment . History Since last 20 days. It all started after lifting a heavy box. Vitals B.p 132/87 mm Hg Temperature 97.8° F Pulse 78/min Physical Examination Slight swelling and redness in neck (c5- t1 vertebra). Pain while pressing the neck. No lumps were seen on examination . Investigations Cbc was normal X ray of forearm was normal X ray of cervical region showed mild change in vertebra C4 and c5 .The gap between two vertebra has started to increase. Diagnosis Cervical pain Management Warm compression Physiotherapy Avoid lifting heavy weight. Improve sitting posture and reduce usage of phone


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Rhus Tox 1 M single dose Sanguinaria 30 TDs

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I will look for this in upcoming visits .

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Dear doctor please firstly suggest COLLAR BELT for traction of cervical spine Myostal tab 2b.d. +myostal oil for local applications Pregabalin 75 +methycobol 1500mg +Deflazacort 6mg at night No pillows at night Cervical exercise

Thank you doctor

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर गर्दन पर मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। महायोगराज गुगल स्वर्ण युक्त 2 वटी एकांग वीर रस 2 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Suggest MRI Cervical spine Colchicum Q 10drops tds

Thank you doctor

Thanks For Sharing Important Case ... SBL No . 5 For Cervical Spondylosis With Calcarea Phosphorus 6X Should Be Helpful Thanks .....

Kanchnar guggul two tab twice vaat gajankush ras 2 tab twice after meals vrihat vaat chintamani ras one tab twice 8am6pm look at constipation

Rhus Tox 1 M single dose Sanguinaria 30 TDs

PIVD ? Ix MRI cervical spine with whole spine screening Rx - Tab Gaba - NT 1 BD Tab Zerodol MR 1 OD. Vit D Sachet with milk and calcium tab . Physiotherapy . Avoid pillow in supine position use pillow while lateral position. Avoid weight lift Avoid prolonged walking and standing . First down your leg while standing from laying position ,not stand directly which cause stress in neck . Do cervical isometric exercise and back strengthening exercises . Reduce weight.

? Cervical spines pathology. ? Degenerative changes.. Go for MRI study.

I agree

Case of cervical disc bulge leading to shoulder pain. Reference to Musculoskeletal physiotherapist needed.

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