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

### input:
I have a pain in my left hand, left shoulder and in whole left chest from near about 2 years. Nothing found in xray and other report or from blood report. Only c5 subjective sponditis found. I take wallnuts, almonds, cashew & pista every morning. How I overcome such problem?

### output:

Hello, As you been having spondylitis, I will advise you to take an MRI of the cervical spine. As post diagnosed with spondylitis there will be some small degenerative changes in the intervertebral disc.  The disc in between the two vertebrae is a jelly kind substance which loses water and lands to degenerative changes.  With the MRI with can figure out if due to the disc degeneration if any spinal nerve root is getting compressed. Because your symptoms are indicative of C5-C6 levels disc degeneration. As the pain is from 2 years, there will be a lot of muscle Weakness. Taking help from a physiotherapist for TENS therapy, therapeutic ultrasound therapy, and guided exercise should be the best thing to do.  You should use even the neck collar. Medicine can be taken for symptomatic relief but not for too long Number, not days weeks and months as it may damage the kidney and lead to other complications. Chest pain is still in doubt as you didn't mention your age, so talking about anything related to heart will make you unnecessarily panic.  But still on a safer side better to get it checked it you age falls above 50. In my clinical practice of 12 years, most spondylitis cases have responded well to physiotherapy and have good outcome scores. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. 