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

### input:
My name is XXXX I have ahd a neck fussion in 2010 of c6-7. I recently went for an MRI yestrday and got the results as follow. C2-3 a disc/pstreophtye complex seen effeacing the ventral csf c3-4 rt side uncovetabral osteophytes contribute to moderate encroachment of the rt formen c4-5 the intervertebral sic was normal c5-6 a concentric disc bukdge with a 3 mm posterior midline to right paracentral disc protrusion is seen effacing the ventral csf and encroaching on the rt foramen contributing to moderate right formainal stenosis c7-t1 a 1 mm posterior disc protusion is seen . what does this mean. I have constin neck pain along with the rt shoulder and nubmness. ans lack if sleep. any ideas what I should do next

### output:

Hello Thanks for writing to according to report, you are suffering from degenerative disc disease of cervical spine. Degenerative changes occur in spine due to aging and development of weakness in annulus fibrosis.1. At C2-3 level, there is disc-osteophyte complex which is indenting the thecal sac.2. At C3-4 level, osteophyte complex is encroaching the right lateral neural foramen.3. At C5-6 level there is concentric disc bulge which is effacing ventral thecal sac and encroaching right lateral neural canal which is causing moderate right former stenosis. Majority of the cases of degenerative spine disease are benefited by physiotherapy, so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Chat Doctor. 