<s>[INST] hi dear prof i m38 years old female .i had dizziness+dyspnea+ leg and right hand pain attack 4 y ago i did brain and cervical MRI .results:normal brain c5-c6 disc bulging+arthrosis=osteophyte,now after 4 yers my new symptoms are:dysphagia+palpitatio+dyspnea+fatige and dizziness my new MRI are the same [/INST] Hello, Disk bulge may cause nerve root compression at that level may lead to neuropathy pain of hand sometimes it may lead muscle weakness in hands. Dyspnea and palpitations may be due to other causes like obesity or hypertension or respiratory problems etc. In case of Phoenix nerve involvement may also cause dyspnea, but unilateral involvement may can cause much problem. So avoid pillows under head. Use soft cervical color for support. Regular physiotherapy and exercises may be useful. If no improvement please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  </s>