<s>[INST] I have c4-c5 degeneration plus stenosis (actually total spine is compromised) and I find when I walk up stairs or uphill I can't get a full breath.  Just get a tightness across upper back and very poor mobility.  Spine specialist says I am not a good candidate for surgery. I do not have and have never had lung problems.    I'm 72 and spine problems began with arthritis when I Was 19 years old.  General health is very good--some slightly high bp that is controlled with meds.  I also take low dose of prozac and xanax on occasion because neck/back discomfort caused me great anxiety. [/INST] Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .*  Two issues are with different  etiology .*  Breathlessness is in concern with decreased cardio pulmonary drive to     altitude due to age related weakness of the heart and lungs capacity .  @  Needs  evaluation  with  2D echo and pulmonary function  tests .*  Spasms and back tightness is in relation with cervical stenosis .*  Suggestions for better recovery as you are not now good candidate for    surgery  -  Local application of analgesic spray or ointment  over back before     climbing  to  avoid  pain .-  Intake  of  pain killers ( to be safer tylenol ) before  1 hr . of  climbing .-  Deep breathing exercises and YOGA on  regular basis to strengthen the    lung capacity .-  Avoid smoking if doing .Hope this clears your query .Welcome for further assistance .Regards . </s>