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[|Human|] Hi Doctor. Please help me to get a sustained relief from Spine pain (Cervical Disc Prolapse C4/5, C5/6, C6/7: C5/6 being herniated and indentation is noticed through 3T MRI report). The patient is on continuous treatment since last 3 months and the 2nd MRI report last week has not revealed any considerable change in the status. Current medicines: Pregalin 75, Etoshine 60, Elliwel 10, Myotop DSR and Rablet. Need your precious advice. Thanks. Brad, New Bombay.
[|AI|]  Hi there, Thanks for your question at Chat Doctor At first the kind of spine pain needs to be differentiated. Scenario 1-only neck pain(axial pain) with no radiation to the arms and no tingling or numbness in the upper limbs. Such a scenario suggests age related degenerative changes or muscle strain or pull. Muscle strain or pull usually gets better with rest, medicines and physiotherapy over 2 to 4 weeks. If its degenerative problem, neck pain can linger on for longer duration. Can get better with exercises, PT and postural adjustments with supplementary analgesics for pain. Scenario 2 neck pain associated with arm pain or numbness and tingling, with unsteadiness in gait, walking disturbance(all suggest compression of neural structures) etc-here if the pain does not respond over 8 to 12 weeks, will require interventions like epidural. Nerve root steroid injections or surgery (last resort) to relieve compression.  Sine in your case, the MRI shows multiple level spine degeneration(in form disc herniation) sustained relief cannot be promised. As of today we have no medical treatment which can reverse age related changes) like disc deaeration) Hence some amount of neck pain is bound to persist over time. If evidence of compression is present, surgery can provide relief of compression related pain and symptoms, Hope this answers your question All the best regards Chat Doctor.