Cervical disc bulge or other cervical spine diseases often results into neck and arm pain in patients formulating an etiology of direct impingement of nerve roots and associated inflammatory process. The clinical presentation also corresponds with the ipsilateral symptoms associated with the cervical disorder as depicted in the patient. A 33 year's old South Indian male is diagnosed with Para-central bulge at the level of C4/5 and C5/C6-Intervertebral disc presented to the physical therapy with neck pain radiating into left sided upper and lower extremity pain. A magnetic resonance imaging revealed mild Para central bulge of C4/5 and C5/6-Intervertebral disc with mild narrowing of the left intervertebral foramen. Results from MRI scan show the alignment and the morphology of the vertebrae to be normal. Also, the CSF displays normal intensity in all sequences. The patient reported to physical therapy for cervical pain and Radiculopathy. After evaluation he was asked to continue with regular home exercise programme like cervical lateral flexion stretch, unilateral wall stretch which resulted to reduce the cervical pain and shows improvement in its subsequent symptoms.

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The chief clinical indication of Spinal Stenosis is persistent pain, severe stenosis, weakness and even including regional anesthesia in patients. One of the major impediments of critical Lumbar spinal stenosis (LSS) is Central cord syndrome which indeed is a cervical spinal cord injury. It may further extend the injury and also resulting in the osteoarthritic spine. Patients with LSS become typical with pain, nervous disorder, formication or neurologic negotiation causing discomfort. As per few studies and natural history around 146 patients with LSS were not suggested for surgical method. This was mainly due to adequate symptom levels. This condition is prevalent in people (40-60years). Whereas, it is seen very commonly in case of geriatric patients (usually above the age of 60). This is a case of a 63-yearold female known hypertensive, hypothyroidism with complaints of paresis because of severe lumbar spinal stenosis. Based on the patient's complaint and disease state the patient was advised to undergo related tests and procedures for further specification of the treatment. In the world, today about 1 per 1000 persons older than 65 years and about 5 of every 1000 persons older than 50 years are seen to acquire such condition like lumbar spinal stenosis. Therefore 60-85% of patients having such condition are known to have fulfilling improvements due to surgical treatments.

Ceaseless introduction to cotton residue may result in different respiratory disorders like pneumonia, Acquired Respiratory Distress Syndrome (ARDS) and so on. Such occupation initiated disarranges are in the ascent right now. Here is an instance of a 70-year-old male patient who is experiencing network procured pneumonia brought about by presentation to cotton dust gained because of working at a material industry. The essential causative living being for the equivalent was observed to be Acinetobacter and E. coli. He is known to have no co-morbidities on affirmation and has boss grumblings of hack with expectoration, blood-decoloured sputum, fever and shortness of breath for around about fourteen days. The patient was found in a condition of respiratory trouble amid confirmation, which was basically treated with Non-Invasive Ventilation. The patient was observed to be unreasonably hypoxic because of declining ARDS. The patient's chest x-beam uncovered combination and the patient were at first treated with anti-toxins and given noradrenaline for hemodynamic help. Antimicrobial treatment included Colistin and Cotrimoxazole. The patient additionally hinted at different organ harm, in particular hinted at Acute Kidney Damage. The condition was recognized because of anomalous creatinine levels or pee yield. Steps were taken to control and treat the equivalent.