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

### input:
I was diagnosed with 4 degenerated cervical discs a year ago, two of them severe. Am experiencing numbness at base of skull when I lie down for bed, neck pain, infrequent dizziness, a tingling in left forearm and hand, along with lower back pain mostly on the right side. Any suggestions?

### output:

Hello, The degenerative disc disease is a condition where the water is lost from the intervertebral disc. Due to which there is degeneration, herniation, prolapse etc. During this, there will be an adjacent nerve root compression and the symptoms take the courses of the nerve. It occurs due to weakness of the para spinal muscles of the spinal column.  The disc degeneration can occur at any level from cervical to lumber. As you were diagnosed with Cervical disc degeneration at 4 levels I would like to know what are the services of them? Are they entering the canal and leading to paresis or paralysis of the muscles below the levels of injury?  If not then it can still be treated conservatively. Using soft cervical collar and hot water fermentation will help reduce the spasm of the muscles and also will help stabilize the spinal column.  Once the pain level falls below 6-7 in visual analogue pain scale of 0-10 then exercise can begin. Also, physiotherapy modalities like Therapeutic ultrasound and TENS therapy will help reduce pain and inflammation.  Once the muscles of the neck becomes strong the compression over the nerve can be released and the symptoms will reduce. The same has to be followed for the lower back. In my clinical practice of over 12 years, most cases with degenerative disc disease respond well to conservative therapy under a physiotherapist and combination of painkillers. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. 