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Stiff neck with extreme pain
Hi, my friend is having severe pain in neck and shoulders from last 8-9 months. Recently the pain has increased to biceps and forearms also. She works with computer more than 8 hrs. Her neck has gotten extremely stiff. There are some knots also on both sides of neck beneath ear. She had a cervical MRI done just to see if it found anything. MRI Results: Mild posterior disc bulge at C4C5 , C5C6 level leading to compression of thecal sac with no nerve root compression or spinal canal stenosis seen. Approx diameter 1.2cm(AP) Please suggest what to do?? Can it be healed without surgery?
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Fantastic MRI report given. Much appreciated. Please follow carefully what I say. 1) please avoid your computer work bending onto one side.Take a physiotherapist help to maintain the posture and cervical spine exercises.2) Painkillers will help if taken on a regular basis for 7 days 3) you don't need surgery until there are disc  protrusions which press on the nerves and not thecal compression4) if you continue working like this without taking cAre you will end up having repeat MRI and surgical correction in the future
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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. Control  Hypertension, Diabetes or any other metabolic disorder, if there is  any. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for neck and shoulders. --.(Take help of a  physiotherapist). --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  Dr N C Gupta MS (ortho)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.