<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am suffering from cervical spondylosis with continuous backache for 10 years and my doctor prescribed for calcium 500 mg, multi-vitamin, mecobalmin 3000 iu along with painkiller Nimesulide-100mg Tizanidine-2 mg daily.-I am taking this prescription since 10 years but I am still suffering from backache and cervical. Vikram Singh  <response>: DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorYOU ALREADY HAD A COURSE OF ORAL PAIN KILLERS. REGULAR USE WITH PAIN KILLERS HAS ITS OWN SIDE EFFECTS. I WOULD Advise YOU TO DO THE FOLLOWINGAvoidance of provocative activities like heavy exercises or weight liftingShort-term neck immobilization with a hard or soft cervical collar andor cervical pillow at least for 6-8hrs a day Physical therapy with exercise and gradual mobilizationOral painkiller can be used for severe pain episodes still your problem persists you may require a cervical tractionHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS 