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

### input:
Hi! I am 50 years old now, in July 2010 I had an MRI spine cervical due to neck and shoulder pain radiating to upper limb with paresthesia. The result shows Mild cervical spondylosis with small disc bulges indenting the thecal sac at C4-6. There is a posterior osteophytes at C3/4. I had so many physiotherapies done and acupuncture but no pain relief. Now 2014 the pain is getting worse and I cannot raise my arm for long period of time. As a scrub nurse, it is so painful when I am assisting the surgeon in retracting the instruments. What will I do with the pain cause it is radiating to my back?

### output:

Hello, Thanks for your query. The MRI report you have given above goes with Cervical Spondylosis. There are features of Disc bulge with narrowing of neural foramina from C4-C7 levels. Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression. These degenerative changes are not completely reversible, but the further progression of these changes can be retarded with medical treatment and regular physiotherapy exercises. Usually the treatment goes in following lines: rest, lifestyle modifications (namely-avoiding pillow while sleeping, following a healthy diet plan, maintaining suitable posture while working on computer/ Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care