Conversation: The conversation between human and AI assistant.
[|Human|] I had spinal fusion a yr ago on c5-c7. I was hit at work by a heavy glass door when one side gave way slamming my right shoulder, pushing me into a crowd of people. Afterwards the symptoms of nerve pinching, pain, headaches, pins ans needles , numbing, aching and pain down arm returned. Just had an MRI this week. Fusion is fine C4- c5 has a paralateral/far left disk protruision causing mild stenosis, mass effect on nerve root entry zone.
[|AI|]  Hello, I have studied your case. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to neck You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If no relief then you can take local steroid injection under c arm guidance. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.