Hi,
If he is not fit for surgery, following less aggressive method can be tried-
Physical therapy and exercise- Exercises can be used to help reduce the pain in the arm. In the initial period a physical therapist may also opt to use modalities such as heat/ice or ultrasound, to help reduce muscle spasm.
*Cervical traction- Traction on the head can help reduce pressure over the
nerve root.
*Chiropractic manipulation.
*Osteopathic medicine.
*Activity modification- Avoid activities like heavy lifting (over 50 pounds), activities that can cause increased vibration and compression to the
cervical spine (boating, snowmobile riding, running, etc.), and overhead activities that require prolonged neck extension and/or rotation.
*Bracing. In some instances a
cervical collar or brace may be recommended to help provide some rest for the cervical spine.
*Injections. Epidural steroid injections or selective nerve root blocks can be helpful to reduce inflammation in cases of
severe pain.