A member asked:

What are the current treatment options for chronic pain from osteoarthritis in cervical spine with decreased range of motion in neck ?

6 doctors weighed in across 3 answers
Dr. Sanjay Kumar answered

Specializes in Internal Medicine

Dilemma: I hope there was a good answer, but there is none. Analgesics will help, but may not be adequate. Nsaids long-term are in-advisable due to adverse effects. Cox-2 inhibitors are better but expensive and not good for heart or kidney patients. Steroids may be injected by a spine surgeon. Surgery is also available. Opioids cause dependence.

Answered 12/9/2013

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Dr. Christopher Coller answered

Specializes in Family Medicine

Many options: There are various topicals or compounded creams that help with pain and inflammation. There are many oral meds: tylenol, (acetaminophen) weak to strong nsaids, special nsaids like celebrex, steroids, opiate pain relievers, mood medicines like cymbalta. Some supplements might help: quercetin, turmeric, msm, glucosamine chondroitin. Also, injectable steroids or prolotherapy. Physical therapy can help too.

Answered 3/4/2014

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See below: As per dr kumars answer but also consider gabapentin/pregabalin , Cymbalta (duloxetine) or similarly working agents.

Answered 10/3/2016

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