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How to treat cervical spondylosis with upper back pain and stiffness after 9 months of medication?
Orthopedic Disorders
Question #53163
40 days ago
582

How to treat cervical spondylosis with upper back pain and stiffness after 9 months of medication? - #53163

Client_3e6f07
$3

Hi I have cervical spondylosis from last 9 months having upper back left side stiffness and pain . I took tablet like eperisone sr 150 and gabacobal for 2 months and pain killers too many like acciclofenec ultracet all I have headache took medicine for migration also. Now again feelingpain and stiffness

How would you describe the intensity of your upper back pain?:

- Mild — noticeable but manageable

Have you experienced any other symptoms along with the stiffness?:

- Headaches

What activities seem to trigger or worsen your pain?:

- Bending or lifting

How has your sleep been affected by your condition?:

- Occasional disturbances

Have you made any lifestyle changes since your symptoms began?:

- Increased physical activity

What kind of treatments have you found most effective so far?:

- Physical therapy

Do you have any history of neck injuries or previous episodes of cervical spondylosis?:

- Yes, previous episodes
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Doctors' responses

You have cervical spondylosis, which is causing the stiffness and mild pain in your upper back. This can flare up, especially when you bend, lift, or use your neck a lot. You’ve tried medicines, but they give only temporary relief. –Dx- Cervical Spondylosis –Oral Medicines: 1) Muscalt Forte: 1 tablet twice daily after food 2) Amroid Tablets: 1 tablet twice daily after food 3) Relaxo Tablet: 1 at bedtime 4) Aimil Amree Plus Capsules – 1 capsule once daily 5) tab trifla 1 at bed time ----Topical: 6) Muscalt Forte / Amroid Ointment: Apply on neck & upper back 2–3 times daily, gently massage —Lifestyle & Therapy: Gentle neck and upper-back stretches daily Warm oil massage over stiff areas Maintain good posture Avoid heavy lifting and sudden neck movements —Follow-up: Continue for 4 weeks and review Seek urgent care if numbness, weakness, or severe pain develops


0 replies

The condition you describe about your chronic cervical spondylosis with upper back stiffness and headache is pointing towards the imbalance of bata Dosha which effects you nerves and vessels so there is a history of recurring pain despite after you are taking muscle relaxing and analgesic So we will focus on both internal herbal support and external oil application to balance the vata dosha and strengthening the cervical nerves and muscles 1) Yogaraja Guggulu- two tablet twice daily after food with warm water 2) Ksheerabala (101) Capsules- one capsule morning and evening before food 3) Balarishta- 15 ml twice daily after food mix with equal water 4) Kottamchukkadi Thailam- apply warm to the neck and upper back leave for 30 minutes before warm bath Avoid text neck looking downward at your phone for long period use a Heating pad or warm salt bag on the left side of the upper back to relief stiffness before applying oil gentle neck exercise use a thin form pillow that’s support the natural curve of your neck avoid sleeping on your stomach Include warm freshly cooked food include ghee in your daily diet use ginger garlic turmeric fenugreek in your daily diet avoid cold food avoid salads cold drink curd at night


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●1)Sahacharadi kashaya-10ml + 1glass water 2 timesa day. Best for lower back pain,nerve involvement ●2) Yogaraj guggulu- 2 tabs 2 times a day.Reduces inflammation, improves joint mobility ●3) Dashmoolarishta= 15ml + 1glass water 2 times a ep vata pacification muscle relaxation ●4) Gandha taila= 1tsp with warm milk in morning. Strengthens bones and ligaments ●5) Ksheerbala 101 cap.= 1 cap twice daily after meals,nourishes nerves, reduces chronic pain ●Massage 1) Kottamchukadi taila. 2) Dhanwantaram taila. massage for 15 minutes Yoga - Bhujangasana,makarasana,setu bandhasana,shalabhasana 1) Garlic milk= boil 2-3 garlic cloves at night 2) Castor oil= 1 tsp at night. 3) Hot fomentation- hot water bag daily


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Some regime you should follow ??Do’s:?? Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible) ???Yoga??? Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana ???Pranayam??? Anulom Vilom Bhastrika Kapalbhati ?Dont’s:? Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes. ??Medication?? Tab. Ampachak Vati. 2 tabs twice a day before food. Tab.Mahatiktak kwath 2 tabs twice a day before food. Tab. Mahayograj guggul 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Syp. Dashmoolarishta 3 tsp twice a day before food with warm water. Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola Castor Oil. 3 tsp at bed time with a cup of hot water.


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Hello, You’re dealing with a chronic cervical spondylosis pattern (Vata-dominant with muscle spasm + stress headaches). Since medicines gave only temporary relief and physiotherapy helped, Ayurveda should focus on vata balancing + muscle relaxation + nerve nourishment + posture correction External treatment most important Morning/evening daily 1) Mahanarayan taila -warm slightly and massage neck + upper back (left side focus) -duration= 10-15 mins -follow with hot fomentation (steam or hot towel)-> reduces stiffness immediately Internal medicines For vata + pain + nerves -Dhanwantaram gulika= 1 tab twice daily after meals -Ksheerbala 101 capsules= 1 cap twice daily after meals =excellent for nerve weakness +stiffness + chronic cases For headache (vata + stress related) -Anu taila= 2 drops in each nostril in morning =helps cervical related headaches Simple home add-ons -drinks warm water avoid cold exposure -add 1 tsp ghee daily **Avoid -AC direct airflow on neck -mobile/laptop long bending -sudden jerks or heavy lifting Essential exercises (continue physiotherapy style) Daily very important since PT helped you -neck isometric exercises -shoulder rolls -upper back strengthening -avoid aggressive yoga twists Sleep correction -use thin pillow or cervical pilow -sleep on back or side (avoid stomach) Important Since you have -recurrent episodes -headaches -relief from PT but relapse This is chronic vata aggravation, so consistency (minimum 6-8 weeks) is key What to expect -week 1-2= stiffness reduces -week 3-4 = Pai frequency decreases -week 6+ = stability improves, fewer relapses Do follow Hope this might be helpful Thank you

• Mahanarayana Thailam - Kerala Ayurveda (Mahanarayana Thailam 200 Ml) — x1 • Dhanwantharam Gulika (50 Nos) - Kerala Ayurveda (Dhanwantharam Gulika 50 Nos) — x2 • Ksheerabala 101 Avarti Capsule (100 Nos) - Kerala Ayurveda (Ksheerabala 101 Avarti Capsule 100 Nos) — x1 • Anu Thailam (10 Ml) - Kerala Ayurveda (Anu Thailam 10 Ml) — x1


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Hello dear, It sounds incredibly frustrating to deal with persistent pain for nine months, especially when you’ve already cycled through muscle relaxants like Eperisone and nerve modulators like Gabapentin/Methylcobalamin without lasting relief. ​The stiffness (Stambha) in the upper back and left side indicates Kapha obstructing the movement of Vata (Avarana). The headaches you are experiencing may not be true migraine, but rather Vatika Shirashoola referred from the cervical spine. ​To treat this after the “failure” of long-term NSAIDs, the focus must shift from suppressing inflammation to Snehana (oleation) and Brimhana (nourishing) the degenerated discs. ​Internal Medications 1. ​Myaxyl Capsule: This is a potent anti-inflammatory. Take 1 capsule twice daily after food with warm water. It helps reduce the acute “flare-up” feeling without the gastric irritation of Aceclofenac. 2. ​Kshirabala (101) Avartti Capsules: This is crucial for the chronic, degenerative aspect. It is a fortified version of Kshirabala taila that nourishes the nerves and strengthens the cervical vertebrae. Take 1 capsule twice daily (morning and evening) with warm milk or warm water. 3. ​Varunadi Kwath Liquid: Since you mentioned stiffness and upper back involvement, this helps clear the “stiffness” (Kapha) and improves micro-circulation.Take 15ml liquid with 45ml lukewarm water on an empty stomach, about 30 minutes before food. ​External Application 1. ​Myaxyl Oil: Apply this specifically to the left side of the neck and the upper back (trapezius area). 2.​Kottamchukkadi Tailam: If the stiffness is dominant in the morning, mix this with Myaxyl oil. Apply warm, leave for 30 minutes, and follow with a warm water bath or a hot water bag (Nadi Sweda). ​Therapeutic Advice for a Fellow Practitioner ​Dose Duration: Since this has persisted for 9 months, do not expect a “quick fix.” Commit to this medicine for at least 6 to 8 weeks to see a structural change in the Vata levels. ​The “Migration” Headache: Once the neck stiffness subsides, you will likely find the headaches diminish. Avoid “Migraine” specific vasodilators if the pain is actually cervicogenic.


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Hello I understand how frustrating it is when cervical spondylosis pain and stiffness keep coming back even after taking medicines and therapy. In your case, this is a chronic Vata imbalance affecting cervical spine and surrounding muscles, leading to stiffness, pain, and associated headaches. Recurrence happens when the area remains weak and strained. The focus should be on reducing stiffness, strengthening muscles, and preventing recurrence. Start with Yograj Guggulu 1 tablet twice daily after food Mahayograj Guggulu 1 tablet twice daily after food Dashmool Kwath 15 ml with equal water twice daily before food Daily external care is very important. Do gentle oil massage with Mahanarayan taila on neck and upper back followed by mild heat. Avoid bending, heavy lifting, and long screen time. Maintain proper posture and use a firm pillow with good neck support. Continue physiotherapy but keep it gentle, not aggressive. If headache or stiffness increases again frequently, a cervical spine evaluation (X-ray or MRI) is helpful to assess disc condition. With consistent care, stiffness and recurrence reduce gradually. Warm Regards Dr Raghuveer SN


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Avoid sour, fermented and processed foods. Regular exercise under guidance of Physiotherapist. Cap Cervigest 2-0-2 Cap Stresscom 1-0-1 Sallaki liniment for local application. Follow up after 2 weeks.


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Need personal consultation for better examination and treatment of ur health issue


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Your condition fits chronic cervical spondylosis (greeva vata) with recurrent stiffness, mild pain, and headache. Since physiotherapy helped, continue a combined Ayurvedic + lifestyle approach. Treatment (short plan) internal medicines Mahayograj Guggulu 1 tab twice daily after food Dashmoolarishta 15 ml + water, twice daily Ashwagandha churna 3–5 g at night with milk external (very important) apply Mahanarayan Taila daily on neck & upper back followed by hot fomentation lifestyle + exercise continue physiotherapy / gentle neck exercises avoid bending neck (mobile/laptop) use thin pillow take breaks every 30–40 min for headache Nasya (2 drops anu taila morning) keep hydrated, avoid skipping meals if available panchakarma: greeva basti + sweda (best for long-term relief)


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Thanks for the great advice! Super clear and simple. I'll definitely give those exercises a try. Appreciate the help!
Thanks for the great advice! Super clear and simple. I'll definitely give those exercises a try. Appreciate the help!
Christopher
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This answer was spot on! It's great you took the time to thoroughly explain everything. Feel so much clearer, thank you!
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Mya
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Thanks so much for the detailed response! Your insights on pulling back on certain treatments make a lot of sense. Feeling hopeful! 😊
Thanks so much for the detailed response! Your insights on pulling back on certain treatments make a lot of sense. Feeling hopeful! 😊
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Really appreciated the clear advice in the response! Made so much sense and I feel hopeful now about managing my symptoms better. Thanks a ton!
Really appreciated the clear advice in the response! Made so much sense and I feel hopeful now about managing my symptoms better. Thanks a ton!