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

### input:
Hello couple of years ago I was diagnosed with a cervical stenosis. I have also noticed a slight tremor in my right hand. The tremor has become worse and I have constant forearm pain. In the last couple of months I have noticed that my left hand is starting to tremor. In addition my wife says that my body jerks while I am sitting lots of times I don t notice it. Should I see my doctor or can a cervical stenosis cause these symptoms.

### output:

Hi, Thanks for writing in. The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Cervical stenosis is a term used to describe a condition in which there is narrowing of the space through which the spinal cord passes.  There might be pressure on the discs in the cervical spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which was present at one level might have progressed and affected the discs at other levels also. Right now you require a repeat MRI scan of the cervical spine and this will tell any significant changes that have taken place in two years. It is possible that you need urgent medical attention and this needs to be discussed with your doctor and treatment to be taken. There are many treatment options available. Initially patients are treated for the pain and discomfort by medication and physiotherapy. If the condition has progressed to non-responsive to medication then surgical techniques including laser surgery and radiofrequency ablation methods can help you get relief. Please do not worry.