Q: Try applying warm compressions on the back to help relieve pain. Cold compressions can also be applied for pain relief. The patient can alternate warm and cold compressions every 25-20 minutes.  Hot compressions help relax the muscles.  You can dip a piece of cloth (flannel) in warm water and massage the back and neck. The procedure might be painful at first but the pain decreases with time. Heat application can be done for half an hour three times a day.   Cold compressions help numb the area and restrict the nerves that send pain signals to the brain.  The ice pack should not be applied directly on the skin; it should be wrapped in a towel or a plastic bag. Another alternative that can be used is a bag of frozen peas. Eating foods that are rich in vitamin D and calcium can help strengthen the joints and bones. Fortifying the joints and bones can help to regenerate damaged portions of the spine, and help prevent further degeneration.  The daily requirement for calcium intake is 200mg, and the foods that provide the body with calcium include dairy products, soy, and fortified wheat products. The daily requirement for vitamin D intake is 400IU, and the foods that provide the body with vitamin D are fish, eggs, cod liver oil, and fortified milk. Many patients will be prescribed painkillers or recommended to try over the counter medicines. These drugs act by sending a message to the pain centre in the brain, in order to reduce the pain sensation.  These drugs include over the counter drugs like paracetamol, and prescriptions like oxycontin and Vicodin. Non-steroidal anti-inflammatory drugs (NSAID) can also be used to relieve pain. This includes ibuprofen, which can be taken in doses of 1-2 tablets three times per day. Topical ointments can also be prescribed to help relieve pain. Some of these drugs are NSAIDs and act by inhibiting the pain receptors. Topical ointments may be more effective at reducing pain in localized regions of the body. This includes voltaren gel, which can be applied to the back and neck 2-3 times daily. If you are overweight, try to lose weight and aim to have an optimum Body Mass Index (BMI). BMI is a measure of a patient’s relative weight, based on the height and mass of the patient. Maintaining a healthy weight will reduce stress on the back, and have a positive impact on spinal health. The ideal BMI is between 18.5-25.
A: Apply hot and cold compresses for pain relief. Up your intake of vitamin D and calcium. Take painkillers to deal with pain and inflammation while you work to treat your degenerative spine. Apply topical ointments to your back and neck to relieve pain. Manage your weight to reduce stress on the back.

Article: Go to the nearest hospital or call 911 if you develop a stiff neck, have convulsions, experience severe vomiting, experience weakness or paralysis, or become semi-conscious or unconscious. These could be signs of a brain infection like meningitis or encephalitis.  Some patients with mumps can develop meningitis, which may require further medical treatment.  Encephalitis occurs when your brain is inflamed. Left untreated, it can lead to neurological problems and become life-threatening. These could be signs of an inflamed pancreas, or pancreatitis. Bring your child to the nearest doctor if he or she experiences convulsions or if you suspect malnourishment or dehydration. These may be signs of a more serious illness or condition. Mumps during a pregnancy can be dangerous, with an increased risk of miscarriage in the first 12-16 weeks. In rare cases, mumps can cause hearing loss in one or both ears. So if you start to lose hearing in one or both ears, speak to your doctor. They can then refer you to hearing specialist.
Question: What is a summary of what this article is about?
Seek medical treatment immediately for severe symptoms. Call your doctor if you have severe abdominal pain and vomiting. Monitor children carefully. Talk to your doctor if you contract mumps while pregnant. Go to the doctor if you experience hearing loss.

Q: When you’re married to a narcissist, self-care should be a #1 priority. It’s important for you to take part in activities that make you feel good about yourself and connect you with positive people. Narcissists often try to isolate you from other people, which may make it hard to maintain your relationships. You may also find that it is hard to keep up with your interests because you are trying to keep the peace at home.  Think about some activities that you have put off since becoming married, or have been dying to try out. Sign up for a class, a Meetup, or check a book out from the library to learn more about a specific interest. You might learn a language, start crafting, become a writer, or start taking kickboxing. Do something you love, just for you. To ensure that your time away doesn’t create a sore spot for your attention-hungry spouse, check in often while you’re engaging in hobbies. You might say, “I’m at my writing course, dear. Is there something I can get for you when I’m headed home?” or “I’m enjoying kickboxing, but I sure miss your handsome face.” Marriage to a narcissistic spouse can feel like everything is about your partner while nothing is about you. Combat feelings of inadequacy by giving yourself permission to be a little selfish and set some goals you have been secretly harboring. To make sure you achieve them, make them SMART goals—that is, specific, measurable, attainable, realistic, and time-bound. Have you always wanted to go back to school? Make a list of steps you must take to reach this goal. Your list might include researching universities, deciding on a major, taking entrance exams, and getting letters of recommendation. Just because your spouse isn’t attending to your emotional needs doesn’t mean no one can. Find a trusted friend or confidant to share your feelings and experiences with. Spend time with people who value who you are as a person and give as much as they take.  You can reach out to an existing friend by saying, “Hey, Randy, some things have been happening in my marriage and I could really use someone to talk to. Can I trust you to keep this between us?” If you don’t have a trusted person to talk to, try attending a support group for loved ones of narcissists. In such groups, you can connect with people who are going through similar experiences and learn how they cope. Although it can make your marriage more fulfilling if your spouse gets treatment, it can also be helpful if you see a professional as well. Years of belittling, criticizing, and being put in second place can take a toll on your self-esteem, leading to anxiety and depression.  Research a therapist in your area who has experience working with the spouses of narcissists. Interviews several professionals before selecting one you feel comfortable with. Seeing a therapist can also help you learn more about the disorder affecting your spouse and learn more skills about how to cope with it in your marriage. You may be completely against divorce, but you should reconsider your decision if your spouse starts to abuse you. Although many narcissists never become violent, it can happen. Speak with a professional to develop an action plan to follow in times of crisis. Even if your spouse never physically abuses you, narcissistic abuse still involves emotional and mental abuse that can have lasting consequences to your well-being. Talk to your therapist to weigh the pros and cons of leaving your marriage, especially if you have children because this behavior can be learned.
A:
Regain your identity by pursuing passions. Develop realistic personal goals for yourself. Surround yourself with a positive network. See a professional therapist. Consider ending the marriage if your spouse becomes violent.