Conversation: The conversation between human and AI assistant.
[|Human|] have tried physical therapy,and several cortisone shots for cervical pinched nerve.(also arthritis in neck) both provide short term relief, but when my nerve is pinched,it is excruciating. is this something that could treated by a pain management physician?
[|AI|]  Hi, thank you for providing the brief history of you As you have tried physical therapy and cortisone I feel u should look ahead with muscle Strengthening of the neck region. Since the pinch of the nerve occurs due to the weakness of the muscles in the cervical spine and leading to compression of the nerve root. In my clinical practice we find that muscle Strengthening has been very helpful in many of the cases with cervical disc pathology.Also, as you said that both are temporary relief like physical therapy and cortisone I feel physical therapy should focus more on the Strengthening of the muscle and this should stay longer. Undergoing therapeutic ultrasound therapy and TENS therapy will be only a temporary relief, but the major role is played by the exercises. Regards Jay In Chat Doctor.