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

### input:
Hi Dr I am suffering with severe muscle spasms in neck from 2006. I have been to doctors with no success. My neck can become very stiff an some stages I can t be in a certain position for too long. I have it really bad and with lots of pain. I did get a inflammatory tablet celebrex 200mg to take but I only tried it once. After 30 tablets and no cure I thought to stop seeing it doesn t take away pain. I am just like that... Why keep drinking things that doesn t make a difference. I don t believe in going to doctors anymore because nobody could help yet - from 2006 and it s a waste. I did read up about magnesium deficiency and am not sure about what to choose when I see all the negatives in the tablets. I also did see that it should contain Vit b6 and Vit D + selenium to be properly absorb if I remember correctly but find it hard to find in one supplement. Any advice please would be appreciated.

### output:

Hi, Thanks for your query. Neck pain and severe muscle spasm that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care