Conversation: The conversation between human and AI assistant.
[|Human|] hi ive had a mri showing a bulge in the cervical spine, have had injections with 16 sessions of physiotherapy, dry needling. and now exercise therapy my physio has stopped and pain is more regular running from neck to back of shoulder and the top of my arm
[|AI|]  Pain in the neck and the upper arm...MRI shows cervical disc bulge...the symptoms represent C5, C6 cervical disc, c5 nerve root involved. Conservative management like painkillers, steroids and physiotherapy is firstly tried but if there is no improvement in the 6 weeks then these conservatives is not the option s as it will not improve your quality of life. At this stage your pain is not improving but instead getting worst. The best option now for you is Surgical Treatment and can help in Improving your conditions. Repeat the MRI scan Consult a spinal surgeon.