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A 43-year-old female asked about a 43-year-old female:

F 43 sciatica many yrs recent ct scan shows severe protruding l4 & l5 disc.dad died from multi myloma,wat r the chance need neurosurgery n cancer?

2 doctor answers2 doctors weighed in
Dr. Latoya Edwards
Family Medicine 22 years experience
Disc change vs. MM: Bulging or protruding discs are often seen on spine imaging. Sometimes seen without severe back symptoms. Without signs of severe disc damage (herniation) or nerve damage, it is usually managed conservatively & without surgery. Doesn't cause MM Multiple Myeloma-different. Cancer abnl prod. of blood cells (plasma cells), affects bone and organs - Cont with routine physicals, screening labs CBC
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Robert Nelson
Family Medicine 38 years experience
Duration of symptom?: There are about 4 good reasons to fix/repair a disk and persistent leg weakness is one of them; especially if affecting your gait or if any muscle shrinkage(atrophy). If you failed all conservative treatments & symptoms persist after 6 months, you may benefit from surgery. Dr. Stan Lee in Michigan does these kind of second opinions and is very knowledgeable and conservative in his approach.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Robert Nelson
Family Medicine 38 years experience
Provided original answer
Multiple Myeloma is not associated with herniated disks per se. MM is more common in men. It is a malignancy of plasma cells that produce antibody (type of B lymphocyte). In MM the plasma cells produce abnormal antibody-like proteins which damage organs and can cause renal failure.
Aug 3, 2014
Last updated Sep 29, 2016

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