60yrs old woman with neck pain since 1yrs

Occupation_ house wife
Neck pain since 1yrs
Headache since 1yrs...vomiting during head pain...vertigo
Eye_ pain and lacrimation
Vision⬇ed
Pain in leg...tingling sensation rt upper and lower limb....and numbness

Pain in both ankel since 4month
M/h
Hysterectomy done _ 4yr back
Obs/history _ p3 L3_ 2M 3F
LCB_ 30yrs
Inspection _ normal
Palpation_ muscle stiffness
Mild nodular swelling...