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

### input:
Hi! I have been experiencing neck pain for 2-3 years now. It is most severe when I have pressure or any strain to my neck especially when laying down. It is very difficult for me to get any sleep. I have gone to several doctors in the last 2 years which has led me to have x-rays, ultrasounds, ct-scans, blood work, cortisone injections, physiotherapy, IMS treatments, electronic muscle therapy, and in the last 3 weeks have started massage therapy. So far, the massages are the only thing that have even started to help relieve some of the pressure. In X-rays it showed I have degenerative disc disease. But in the last 6 months I have been experiencing such excruciating pain in my neck, that the pain shoots up through my ear and gives me such severe headaches that it makes me want to throw up. Other things that have been happening in the past 6 months that kind of have me concerned is that I have occasional body twitches, kind of that jerky feeling you get when you dream your falling from the sky. I also have been experiencing temporary body paralysis where I cannot move my body for long periods of time. HELP! I m only 39 years old.

### output:

Disc issues could have been detected on MRI.anyway if orthopedic doctors have tried all modalities of treatment, now massage helps, it's good. Apply Voltaren gel also. For nerve pain take methycobalamin and lyrics 75 mg twice a day for 6 weeks, and you may notice significant difference. At bedtime, take next plus. For sleep panic disorder. Consult a physician fir obtaining prescription if he agrees to my suggestion