instruction: hello doctor I am having pain at my back neck since morning and could not even move my neck years ago I had same mri showed disc bulge at c3 c4 and c6 c7 is causing thecar indentation central disc protrusion at c4 c5 and c5 c6 is causing thecar indentation
output: hello looking into your problem you had chronic neck pain I should say and you are struggling with it since long time years mri from the past is showing that there is problem from c3 5 7 but major level that is producing pressure symptom in your spinal nerve is c4 and 6 has central disc protrusion I would love to see that film that gives us real guide how to produce and plan for surgical treatment best option is endoscopic cervical disscetomy at two level 5 and 6 and if either go acdf a interior cervical dissectomy and fusion but today you got again back pain and spasm of neck muscle meanwhile I would suggest to take muscle relaxants and neuroleptic drug and cervical traction you can do cervical traction at home and everyday do cervical traction exercise which will prevent spasm of neck muscles drugs for you capsules gabapentin actavis 300 my po after food twice daily for one week tablet chlorzoxazone 500 my three times a day for one week