Conversation: The conversation between human and AI assistant.
[|Human|] Hello Sir, I am 42yrs old i am sufering from neck pain from past one year, i have met general/neuro/ortho specailists, all suggest to do exercise, I have taken the x-ray and MRI scan also it says small focal posterocentral discal protrusion seen abuting the thecal sac at c4-c4 & c4-c5. central spine canal & nerve root canals are at adequate dimensions, Cervical cord at this level appears normal. My problem is i am doing regular exercise suggest by doctor/physo but still on & off pain, some time it is unbearable. Pain floats in my neck,lower back,shoulder,upper chest,left hand,behind my head. I request you to give me a good suggestion please.
[|AI|]  Hello there, As your clinical signs and MRI findings are suggestive of poster Central disc protrusion this can be managed conservatively by neck extension exercises along with Inferential therapy and moist heat therapy. Few sessions of short wave diathermy will also helpful but not continuously. A physiotherapist certified and experienced enough in MC. Kenzie manual therapy techniques of spine will be the best person to take you out of your pain. Traction therapy is also helpful to reduce the radiation. Combination of Physiotherapy as mentioned above and some NSAID (non-steroidal anti-inflammatory Chat Doctor. . If this does not give you any change then you can opt for OZONE THERAPY and in the worst case (like herniation stage) surgery is the only solution...... Wish you a pain free and cherishing life soon....