### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
dr,i am 56 years old.i have joint knee problem,my doctor told me to go for joint replacement untill i am 65 but now my dr. told me i also have back problem here is my report pls suggest me wat to do.1.degenerative changes wid osteophytes along da anteriolateral margin of cervical vertebrae r seen. 2.no fracture or dislocation is seen. 3.disc spaces appear normal. 4.no bony erosion is seen. 5.no evidence of cervical rib. 6.prevertebral soft tissue shadows appear normal.(IMPRESSION) CERVICAL SPONDYLOSIS.

### output:

Hello, Thanks for your query. You might suffer from cervical spondylosis. It is a common degenerative condition of the cervical spine. It is most likely caused by age-related changes in the intervertebral disks. I suggest you to consult an orthopaedician nearby for a detailed examination. Your doctor after diagnosing the condition may refer you for physical therapy. The physical therapist will help you reduce your pain using stretches. The therapist will show you how to do exercises that make your neck muscles stronger. You can take analgesic and muscle relaxant after discussing with your doctor. You also need some lifestyle modification like-Do not sit for prolonged period of time in stressful postures use firm collars while traveling not lift heavy weights on head or back Do not turn from your body but turn your body moving your feet first turn to one side while getting up from lying downcast common reason for knee pain at advanced age is arthritis knee. This can be confirmed by some features which are present in radiograph or x-ray of knee. Medicines which you're taking at present do not help with knee osteoarthritis. To have relief in osteoarthritis knee, you should do following- -Start doing exercises for qua Chat Doctor. You may learn this from your physiotherapist. -Start doing warm fomentation with rubber bag over knee for at least 3 times a day. -Take a good analgesic like Advil or sleeve. -There are some dietary substances like glucosamine, Chen