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

### input:
I have had a small bulge in the front of my neck for about 12 years which the doctor descdribed as a non toxic thyroid gland which he said needed to be removed to prevent it from becoming cancerous. Meanwhile In 2012 after massaging the back of my neck with an electric hand held massager to reduce a neck pain, I got a stiff neck which landed me in the hospital. This other Doctor ordered an MRI. The result read thus: OBSERVATION:-The study shows loss of cervical lordosis due to muscle spasm. Minor marginal osteophytes are seen at multiple levels . The vertebral bodies show normal height and marrow signal intensity. No evidence of fracture or dislocation seen. No evidence of destructive or sclerotic lesions present. The bony spinal canal appears normal at each level. Intervertebral disc saces shows reduced T2 signal intensity is suggestive of desiccation changes. C3-C4 intervertebral disc shows diffuse circumferential bulge and causally directed central extrusion causing indentation over thecal sac. There is both lateral recess and bilateral neural foraminal compromise with mass effect on bilateral traversing nerve roots and spinal cord. subtle T2 hypersensitivity is seen in the the spinal cord suggestive of myelomalcia . C4-C5 intervertebral disc shows diffuse circumferential bulge and focal central protrusion causing indentation over thecal sac and bilateral neural for amine compromise. The cord at ather levels shows normal signal intensity. CSF spaces are normal and show no evidence of mass lesion.. The Atlas and axis are normal with no atlantoaxial subluxation. The posterior elements and spinous processes are normal. Facet joints and unconvertebral joints are normal. No soft prevertebral //para vertebral collection is seen. IMPRESSION :MRI features - Degenerative cervical spondylosis as described above... I have always had shoulder and upper back pain since year 2000. Since 2009, after an anxiety attack I sometimes experience muscle tension in both sides of the back of my neck near the skull and it causes head aches and pains. When massaged the pain extends to my shoulders and my upper back muscles and my arms. I have also started feeling some pains and discomfort in my legs, hip and bottom joints and in my fingers. I have also observed loss of muscle tone in my arm and legs. During these episodes I also have blurred vision. All these symptoms are occurring more often now. What is the best thing I can do now. I m worried about my children and my future. Please help me. I am 50 years old. I had about three different traumas to the back of my head. One occurred during a dance routine in the university when I was 18, I lost consciousness. The second happened when I slipped on a slippery surface in my compound. I was about 36, I had a laceration and received about 4 stitches in the back of my skull. The third was a domestic violence. I was 38. My ex husband hit my head continuously against a wooden wardrobe about 3 or 4 times. Please help me

### output:

For cervical spondylitis use a collar in daytime, do isometric cervical exercises, take moral tab twice a day after meals, panto DSR one tab empty stomach once a day. Lyrica 75 mg and methycobalamin one each consult a spine specialist if he agrees with above treatment. A physical therapist may give cervical traction for 10 days, 10 minutes daily, if your spine expert doctor agrees. Hopefully all this shall help you. Refer to spine surgeon for further management.