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I was suffering with severe neck pain since last 7years , hav all type of physiotherapy and massages and chiropractor but no relief then I met Dr Sudheer and Dr minal at this center…
Very good doctor. Suffering from knee pain from last 4 years and didn’t want to get a surgery. They treated my knee pain with out surgery with stem cell therapy. I am very happy with the results.
By far the best pain management specialists in town. After consulting several places with no effect, Epione made sure that they treated my mother’s delicate pain condition with patience…
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I finally got relief from my back pain thanks to Epione
Dr Sudheer cured me from knee pain due to arthritis
I suffered from foot pain for 5 years but finally found pain relief at Epione
I can’t believe I got relieved of my back pain in a single day
In most cases, people with cervical spondylosis may not experience any noticeable symptoms. However, if symptoms do occur, the person may experience neck pain and stiffness.
Other symptoms of cervical spondylosis include:
Cervical spondylosis develops due to the degenerative changes that occur in the spine as we age. These changes may include:
Initially,a person’s medical history is reviewed along with a physical examination. During the physical examination, the functioning and range of motion of the neck, shoulders, arms and legs are assessed and the reflexes and muscle strength are tested.
In addition to physical examination, imaging test, such as X-rays, MRI scan,CT scan and myelogram are recommended to confirm the diagnosis of cervical spondylosis.
MRI Scan is the gold standard for diagnosis of cervical spondylosis- It may show a degenerated disc or a bulged disc, degenerated facet joints, spinal cords, spinal canal, muscles around , soft tissue growths.
Other test like Nerve conduction study may be required.
Cervical spondylosis is usually treated with non-surgical and surgical approaches. Surgery is recommended only when the pain is severe or in presence of any RED FLAGS ( Weakness of hands and legs, incontinence of bowel and bladder).
Nonsurgical treatment options include:
Certain neck and upper back stretching exercises are recommended to strengthen the neck muscles. These Exercises are to be avoided in cases of acute pain as doing these exercises may exacerbate the pain.
Ice, heat and massage therapy: These therapies help to relieve neck, pain, stiffness and inflammation for short term. They are not a permanent solution for this condition
Surgery is required only in case of severe pain or occurrence of RED FLAGS- Weakness of hands and legs, urine and bowel incontinence. Surgery is associated with major complications as it is done around the neck where all important structures like windpipe, foodpipe, big vessels and other important structures are present.
Non Surgical Treatment
Nerve blocks for cervical spondylosis
Pain relief in selected patients can be achieved through medication injection into the joint and/or injections to block the nerve that innervated the joint and the adjacent tissues. Common procedures used for cervical spondylosis are cervical epidural block, cervical facet joint block and Median branch block and radiofrequency ablation of Median Nerve.
Injections into the cervical facet joint is usually done under local anesthesia and the procedure takes about 15-20 minutes. The procedure has minimal side effects and is the best effective modality for pain relief.
The cervical facet joints are supplied by the medial nerve, and blocking this nerve through medication injections can help achieve pain relief. This procedure is performed under local anesthesia and takes about 15-20 minutes.
All these procedures are done as day care procedure with the help of specialized machines and are so devoid of any complications when done by an expert.