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I am a 37 yr old male with moderate neck pain. I recently had an x-ray with the following The cervical spine demonstrates straightening of the cervical lordotic curvature with posterior osteophytes at C5-C6. 2mm of C-4 on C-5 anterolisthesis.
Impression: 2mm of C4 on C5 anterolisthesis with degenertive disk disease at C5-C6. If you were my PCM what course of action would recommend next?
Based on my discussion with our primary care doctors, unless you have "severe" degenerative changes with spinal stenosis or severe debilitating pain with severe neuroforaminal narrowing (where the nerve roots exist), then no surgery is needed and any pain is managed through medications and/or physical therapy.
2 mm on C5 anterolisthesis does not usually fall under category of severe degenerative disease.
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