MRI findings of Cervical Spine. And!

Based on the history and MRI findings, she appears to have cervical radiculopathy due to multilevel cervical disc bulges, with left-sided nerve root compression (more prominent at C4–C5 and C5–C6). The good news is that there is no weakness, spinal cord signal abnormality, or signs of cervical myelopathy, so conservative treatment is appropriate at this stage. Surgery is not required She may take Tablet Pregabalin 75 mg once daily at night and Tablet Etoricoxib 90 mg once daily after dinner/night for 2 weeks (unless contraindicated or advised otherwise by her treating physician). For local pain relief, apply Diclofenac gel over the neck twice daily. In addition, start supervised cervical physiotherapy, including posture correction, cervical strengthening exercises. Avoid prolonged mobile/computer use with the neck bent forward, sudden neck movements, and heavy lifting.

Follow up with a Neurosurgeon or Spine Surgeon after 2 weeks or earlier if symptoms worsen. If pain persists despite conservative treatment, further options such as a selective nerve root injection may be considered. Seek immediate medical attention if she develops arm weakness, hand clumsiness, gait imbalance, or bowel/bladder symptoms, as these require urgent evaluation.

Most patients with cervical radiculopathy improve with medications, physiotherapy, and activity modification over 4–6 weeks, without requiring surgery.