instruction: hello doctor I am 31 years old before 16 years underwent anterior discectomy of c3c4 c4c5 with fusion even had neck pain and pain got radiated to neck and back while working suffering with pain for 16 years but I got used to it but for past few months neck became very week am not able to bare my head weight and not able to keep neck in straight position now for past 20 25 days having severe neck pain weakness of full both hands and legs sometimes with numbness eye pressure and back head pain I am not able to keep neck at straight position getting breaking sound if I rotate the neck movement is restricted I have attached my recent mri report can you please tell me what is the actual issue with this
output: hi I have gone through your query and medical history along with the attached reports the problem does not seem to be due to the fused ca or c4 levels infact a disc prolapse at c5 ca with nerve compression is causing the present symptoms I would suggest you to go for physiotherapy sessions including cervical traction along with neck strengthening passive and active exercises swd irt it would always be better to avoid going through another surgery considering the post operative complications hence in my personal opinion you should avoid a re surgery and go for conservative line of management analgesic anti inflammatory tablets hot fomentation and use of cervical soft collar will help if the symptoms do not improve you can consult an orthopedist neurosurgeon for further management