Conversation: The conversation between human and AI assistant.
[|Human|] please I Just want to ask about cervical spondolosysis which i have for 6 months ago. . sex ; male. age ; 61 year. i am suffring from 1- continuous numbness on both of my hands . 2- sense of heaviness of my upper limbs and shoulders 3- sense of crampes of chest and abdomenal walls. 4- no neck pains. 5- power is good. 6- sphincters are ok. 7- i am diabetic . investegatons ; plain x ray of cervical vertebra reveals cervcal spondolysis with bony osteophits. m.r.i on cervical spins reveals cervical spondolysis at the levels c3,4,5,6. with cord compretion. i ask about physiotheraby in this case is effective or not and dangerous or not ? thanks in advanca and best regardes
[|AI|]  Hi, You are having radiculopathy at intake stage. So physiotherapy will definitely work and must be done without fail. This is the only treatment at this stage. But in case of any warning sign like bladder involvement sudden breathing difficulty, loss of power, worsening of symptoms may require operative decompression with or without fixation.  Along with physiotherapy you need to avoid pillow, serious activity, putting NY weight on head; take warm compression ; and other symptomatic management like analgesic (NSAID),muscle relaxant, PPI n vitamins. Hope this ll help Thanks n regards