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A member asked:

why am i in extreme amount of pain? ortho said i'm not bad enough for surgery. dx: 3 lumbar bulging disc no impingement. orthopedic surgeon said just to go back to pain management. this condition/complaint has been going on for 3 years now and seems to

3 doctor answers8 doctors weighed in
Dr. Herbert Krob
Neurology 29 years experience
Pain : Pain is a complex sensation that reflects both physical and mental states. The most easy to understand pain is pain that comes from a known cause, for example a broken leg. It is often much harder to understand pain that does not appear to have an obvious source. Getting further away from the broken leg, examples include the aches and pains we feel with bad jet lag, the aches and pains of flu, the pain of migraine (which no one seems to doubt), and the pain of fibromyalgia (which a lot of people question). Pain that doesn't appear to have a source may be caused by an imbalance in the regulation of pain pathways in the spinal cord and in the brain, and is often linked to mood disorders like anxiety and depression. Often, this kind of pain can't be eliminated, but can be made more bearable by an approach that draws from many sources, including: self help (which includes improvements to general health -- like quitting smoking, diet and exercise), psychotherapy, manual therapy, and (when needed) medications.
Dr. Carl Spivak
Orthopedic Spine Surgery 28 years experience
Back : Back pain may be come from the disks, joints, muscles, ligaments, bones, etc. I often find people with severe back pain and degenerative disk disease have a lot of their pain originating from the facet joints. I have seen very good results with endoscopic rhizotomy. I would recommend seeing a spine surgeon who does endoscopic surgery. Please see my health guides for more information on facet arthropathy and endoscopic rhizotomy. Good luck!
Dr. Jonathan Hyde
Orthopedic Spine Surgery 29 years experience
Specialist: If you have been going to pain management, then you should have had tests, injections, etc for presumptive diagnoses such as disc disease, facet syndromes, etc. If the doctor was not a specialist dealing only with spinal disorders, then i would recommend a second opinion with a spine surgeon (maybe at a university setting if your area does not have such tertiary care surgeons available).
Dr. Edwin Perez
Dr. Edwin Perez commented
Anesthesiology 19 years experience
6/10 people have findings on their MRI that have nothing to do with their pain. Keep that in mid when interpreting the MRI.
May 4, 2013

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Similar questions

A 30-year-old member asked:

My son is 6 months old now, and I am having some serious lower back pain. Could it be my hips are adjusting?

1 doctor answer1 doctor weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Back pains: The word "serious" calls for need for assessment by an orthopedic specialist for diagnosis & recommendations.
Dayton, OH
A 24-year-old female asked:

I'm not on any type of birth control. My period is 16 days late I took a pregnancy test today it came back negative. What could be going on.?

2 doctor answers4 doctors weighed in
Dr. Alan Patterson
Obstetrics and Gynecology 42 years experience
Do a blood PT: You need a blood bhcg, if neg could be form other hormones being not right or other pronblems, your gyn can figure out what is going on when you see your gyn or a gyn, they will do an exam, blood work and ultrasound.
A 19-year-old female asked:

I have puss on tonceles and large bumps on back of tongue and throat but don't hurt. Do u know what could be wrong?

2 doctor answers6 doctors weighed in
Dr. Vance Harris
Family Medicine 37 years experience
Probably normal: If you do not have pain and no fever then this may be normal. All of our tongues have bumps on the back of them and just maybe you never noticed them. The tonsils can collect debris and dead cells that slough off and these can collect as small white plugs in the tonsil itself. If there is no pain it is unlikely that you have an infection.
A 45-year-old female asked:

I am 45 with 3 failed ivfs, 5 yrs ago. Benign ovar. Cyst removed then. Last period jul 10. Hcg 464 (20 dpo) & 843 (22.5 dpo) mild cramp, no bleed, ache 1 side. Ectopic, cancer, menopause?

1 doctor answer2 doctors weighed in
Dr. Adam Newman
Obstetrics and Gynecology 29 years experience
Seems ok: Is DPO days post ovulation? If so, your HCG roughly doubled in 48 hours...That is a good textbook rise! a mild cramp is common, and no bleeding is always good. Seems to me you are pregnant! no indication of ectopic, no reason to think cancer (hcg producing cancers are typically seen in much younger women ie teens and 20's) and menopause doesn't give you rising hcg. So for now, congrats and luck!
A 41-year-old female asked:

I have tingling feet my MRI shows L5 -s1 bulging disc with mid atrophy of some muscles around l5-4-3 . My doctor tingling feet. Are because of and this disc hasn't. Caused it. He gave me nortriptilin is my doctor right? I still have tingling feet and som

3 doctor answers6 doctors weighed in
Dr. Ronald Galyon
Orthopedic Surgery 35 years experience
Not usual for disk: With the muscular atrophy and neuritis, it might be best to undergo further testing. There are many possible causes, including diabetes, autoimmune, endocrine, to mention a few. At your age, a complete workup is indicated.

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Last updated Nov 28, 2017


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