Brief Answer:
Initial management is conservative.
Detailed Answer:
Hi, thanks for writing to XXXXXXX
All your MRI findings are suggestive of early degenerative changes (MILD wear & tear changes). The giddiness & the sensation of loss of balance in your case is termed as CERVICAL VERTIGO. This is generally a benign condition and is usually self limiting.
The general treatment guidelines for your condition is as follows -
Use a soft cervical Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for
short periods of time, because long-term wear can decrease the strength of neck muscles.
Medicines:
Analgesic are needed in the acute phase (
Ibuprofen,
Diclofenac, Naproxen etc). Muscle relaxants are essential for relieving muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE or
PREGABALIN will help in alleviating the
neuropathic pain.
Cervical traction: may enlarge the disc space, permitting the disc protrusions to regress back. Intermittent cervical traction for not more than 30 minutes at a time will suffice.
Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started, under the supervision of a qualified physiotherapist . Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful.
Antihistamine preparations - Symptomatic relief from the spinning sensation & losing balance can be achieved by taking antihistamines like
BETAHISTINE, after consulting a physician.
Hope I have addressed your query. Happy to help further
Regards