Pain in neck

35/y/o with pain in neck since 3 months. No H/o vertigo, No headache, no nausea Pain extends downwards towards upper back It Aggravates on- bending neck forward From past 2 years constipation & hard stools Appetite- normal Thirst normal Tongue coated On examination- mild swelling at the nape of neck & no inflammation Tenderness + Range of movement limited due to pain

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Cervical spondylisis Local swedan Trayodashang guggulu Ekangvir ras Maharasnadi qwath Dashmul qwath Some neck exercise

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