<s>[INST] I have neck spasmens that go all the way around my neck in a circle. I previously had two neck surgeries about 20 years ago. I just had surgery on my back for a cyst in the thoracic part. I am 62 years ago, not in real go shape. The emergency doctor said I should be checked for Lyme disease but I don’t think I have that. What do you think? [/INST] Hi, Consult an orthopedician and get an MRI scan done to look for conditions like cervical spondylitis. As of now, you can take analgesics like Acetaminophen or Tramadol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>