Suspect cervical spondilits if:

Pain and stiff ness of back of neck in mornings.

Neck pain radiating to arm or shoulder.

Tingling Numbness in one hand.

Elderly patient with giddiness, esp on looking upwards.

Drug Treatment:

Cervical traction x 10 days (45 kg. wt x 5-10 mins)

Cervical collar for constant use, during daytime.

Inj. Dolonac 2cc IM x alt days. 3 (Injectible NSAID)

Tab. Diclonac  50 mg 1 tds x 7 x after food, Then 1 bd x 10 -15 days (Any NSAID)

Tab. Decadron 1 mg tds x 5 x after food, (Short course steroid if acute pain )

Gelusil MPS 2 tsp x tds x 7 (Antacid/ Acid inhibitors) to counter gastritis produced by NSAID and steroid.

Methyl  salicylate ointment locally (counter irritant) or Pirox Gel locally.

If shoulder muscles are tender and in spasm, Add

Tab. ROBINAX 500mg x Qid x (Muscle relaxants) or Tab. CARISOMA 1 tds, Tab. IbuflammarMX 1 tds etc.

Tab. CALMPOSE 5 mg. bd x 5

S.W.D (Diathermy) x 10 days for neck.

General Advise:

Sleep on firm mattress.

Stop using pillow.

Neckk exercise to strengthen the Neck and shoulder muscles, and to keep the cervical spine mobile.

Full range of flexion, extension, side flexions and circumduction x 10 – 20 ties.

Cervical traction

Inj. Dolonac

Gelusil MPS

Methyl salicylate

Tab. Ibuflammar MX