<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have c4-c5 degeneration plus stenosis actually total spine is compromised and I find when I walk up stairs or uphill I cant get a full breath. Just get a tightness across upper back and very poor mobility. Spine specialist says I am not a good candidate for surgery. I do not have and have never had lung problems. Im 72 and spine problems began with arthritis when I Was 19 years old. General health is very good--some slightly high bp that is controlled with meds. I also take low dose of prozac and xanax on occasion because neckback discomfort caused me great anxiety.  <response>: Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly. Two issues are with different etiology. Breathlessness is in concern with decreased cardio pulmonary Chat Doctor. Needs evaluation with 2D echo and pulmonary function tests. Spasms and back tightness is in relation with cervical stenosis. Suggestions for better recovery as you are not now good candidate for surgery - Local application of analgesic spray or ointment over back before climbing to avoid pain.- Intake of painkillers to be safer Tylenol before 1 hr. Of climbing.- Deep breathing exercises and YOGA on regular basis to strengthen the lung capacity.- Avoid smoking if doing. Hope this clears your query. Welcome for further assistance. Regards. 