<s>[INST] I have C5 radiculopathy right side, delayed reation times on my NCV/EMG tests to my extremities, constant numbness in my right pinky and ring finger, arms and legs sometimes go numb, C4-C5 midline disc protrusion, C5-C6 small annular tear along posterior disc margin, C6-C7 small right paracentral disc protrusion partially effaces right ventral subarachnoid space. I am in constant pain, my neck, upper back and right shoulder are the worst. What can I do to stop the pain, it keeps me up at night. [/INST] Hello, If you have very severe symptoms as you mentioned you definitely need surgery in terms of discectomy and fusion, however till then start taking Gabapentin with nortriptyline, take muscle relaxants, do not lift any weight, give hot fomentation and do isometric neck exercises After these evaluations will be needed how much you get relieved for planning for surgery if required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon </s>