Hello dear Kindly follow below instructions Tab voveron xr 50 mg twice a day for 1 week Physiotherapy must with diclofenac gel twice a day for 1 month Mild neck exercises There may be requirement of cervical spine/ MRI In case of no improvement consult orthopedetian Regards
If the pain didn’t subside with medicines even after 1 month,kindly go with MRI c spine
Recommended Tests: - MRI Cervical Spine (to rule out disc herniation/nerve root compression) - Serum Vitamin D3, B12
1) Tab Gabapax NT 100 1 tab at bedtime for 4 weeks 2) Tab Shelcal hd 1 tab after lunch continue
Given the persistent neck pain you’ve been experiencing, it’s important to consider several potential underlying issues that may be contributing to your symptoms. The actions you’ve previously taken might have strained the muscles or ligaments in your neck, possibly leading to ongoing inflammation or muscle spasm. Given that the traction exacerbated your pain, we might be dealing with an issue that requires a different approach than currently attempted treatments. Considering your medical history and the medications you’re taking, it would be wise to assess the potential interactions and side effects that might influence muscle tension and perception of pain. One important step is revisiting the precise mechanism of your pain. Pain due to muscle strain may not respond well to certain physical therapies, especially if applied too aggressively, as this might lead to further irritation. Instead, I suggest gradually incorporating gentle range-of-motion exercises to maintain mobility without pushing through significant pain. Your current medication for depression can sometimes have musculoskeletal side effects. A discussion with your prescribing physician might help determine if these could be a factor and whether adjustments could help your current situation. You might also want to consider integrating a regular daily routine that includes stress reduction techniques such as mindfulness or gentle yoga, tailored to your level of comfort. Be vigilant about any worsening or additional symptoms such as numbness, tingling, or more severe pain radiating into your arms, as these may necessitate a more urgent evaluation. In light of the ongoing nature of your symptoms and the pain’s resistance to previous interventions, I would recommend seeking a second opinion, perhaps from a specialist in physical medicine and rehabilitation, who may offer new insights or approaches, potentially involving diagnostic imaging or alternative therapies like nerve blocks or guided injections. Evaluating any potential sleep disturbances caused by the pain could also be a key element of management, ensuring that your rest is not contributing to a cycle of fatigue and increased perception of pain.
