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Doctor insights on: Are Abdominal Crunches Contraindicated For Spinal Health

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Why are epidural treatments for lower lumbar pain .And ups an downs of such treatments.

Why are epidural treatments for lower lumbar pain .And ups an downs of such treatments.

See below: Epidural steroid injections are not indicated for the treatment of mechanical lower back pain. They may be use in a selected fashion for injection near a nerve root to reduce nerve root irritation associated with radicular pain such as numbness and tingling. This is a conservative management to try to avoid operative intervention. An evaluation by an orthopedics surgeon and the management of mechanical lower back pain and treatment recommendations would be recommended. ...Read more

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Are pelvic x-rays safe for babies with suspected hip problems?

Are pelvic x-rays safe for babies with suspected hip problems?

Not 100%: Any x-ray is not totally risk free. But if there are suspected hip problems, the one has to balance risk and benefit. Untreated congenital hip dysplasia can lead to significant impairment. To minimize the risk of problems, the gonads should be shielded. ...Read more

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For slipped disc patients while undergoing dts spinal decompression therapy, is there any supplements recommended to help bones gain more nutrients?

For slipped disc patients while undergoing dts spinal decompression therapy, is there any supplements recommended to help bones gain more nutrients?

Supplements: Bones are heavily dependent on vitamin d and calcium. You should have ample supply of both. Often vitamin d levels are decreased and supplemental vitamin d on top of what you get in your diet is recommended. Avoiding alcohol use and smoking are just as important. ...Read more

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How does pelvic floor dysfunction post-lar surgery, esp. dyssynergic defecation, affect pregnancy? What are risks for maternal/fetal outcomes?

How does pelvic floor dysfunction post-lar surgery, esp. dyssynergic defecation, affect pregnancy? What are risks for maternal/fetal outcomes?

Ease your worries: discuss with your gyne. Probably of no great significance. It really depends on your pelvic tolerance anatomically, and a good thinking after better discussion about this pelvic floor dysfunction. Whether this affects your capability to naturally birth, I'm not certain. Really, other than determining your proper route of giving birth, all your concerns shouldn't pose any risk to health of baby ...Read more

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History of ponv with both general and spinal anesth w/morphine and highly opiate intolerant. What anesth options are left for total hip replacement?

History of ponv with both general and spinal anesth w/morphine and highly opiate intolerant. What anesth options are left for total hip replacement?

Hip fracture: You seemed to have experienced hypotension and pov from Morphine Sulfate and inhalational agents. Your anesthesiologist can use a continous lumbar plexus block and total intravenous anesthesia. If they are not good with regional techniques , use inhalational agents with a cocktail of antiemetics : scopolamine patch , promethazine/inapsine/zofran and adequate hydration. Good luck. ...Read more

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What exercises are safe for a patient who had hysterectomy? She has psoriasis and joint pain also. Any recommended exercises please?

What exercises are safe for a patient who had hysterectomy? She has psoriasis and joint pain also. Any recommended exercises please?

Pilates: I would recommend pilates from a certified instructor. The excercises can be adjusted for you and will add strength with out stess on your joints. ...Read more

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Are there safe medical and non-medical treatment options for muscle pain during pregnancy?

Are there safe medical and non-medical treatment options for muscle pain during pregnancy?

Tylenol, (acetaminophen) topical rub: Many OTC meds are safe in pregnancy, including Acetaminophen (tylenol) for muscle aches and pains. Topical rubs and patches (ben-gay, icy-hot) are also safe, which is considered very good news in the third trimester, when back and shoulder pain can really hurt! massage and, yes, heating pads are safe in pregnancy -- even a jacuzzi, as long as the temperature does not exceed that of a warm bath. ...Read more

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What sexual advantages are associated with doing the kegel exercise for women?

What sexual advantages are associated with doing the kegel exercise for women?

Simple answer: The muscles surrounding your vagina will be stringers so when contracted, your vagina will be tighter. ...Read more

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What can be done for 60yo with intolerable pain associated with worsening scoliosis, herniated discs, osteoporosis beyond nsaids, pt, water exercises?

What can be done for 60yo with intolerable pain associated with worsening scoliosis, herniated discs, osteoporosis beyond nsaids, pt, water exercises?

Tried a pain doctor?: I am guessing you have, but if not one may be able to help. A back surgeon, neurosurgeon or orthopedic, may also have something to offer. ...Read more

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Which abdominal exercises are suggested for patients with gerd?

Which abdominal exercises are suggested for patients with  gerd?

Refer to answer: I am not aware of any exercise to help this condition. Best is to avoid acidic food and also black pepper. Eat early at night. See your dr for other related thing that can mimic gerd. ...Read more

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How effective are lower back surgeries for for bulging disc n are there any side effects. Does it limit u from doing certain things?

How effective are lower back surgeries for for bulging disc n are there any side effects. Does it limit u from doing certain things?

Be careful: Studies have shown a poor correlation between a "bulging disc" and the presence of back pain. Some would consider back surgery only in the presence of definite abnormalities of the neurological exam with leg (and not just back) symptoms. Removal of parts of the disc with fusion can be done but even if successful there can be emerging problems later at the disc sites above/below the current site. ...Read more

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Are burpee exercises recommended for people with backache?

Are burpee exercises recommended for people with backache?

No: This is a fairly aggressive exercise and may exacerbate your symptoms. Once your symptoms resolve you may resume this activity. If your symptoms fail to resolve see a physician. ...Read more

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Are there any particularly good exercises for sciatica?

Are there any particularly good exercises for  sciatica?

Yes: Mckenzie exercises are generally prescribed for sciatica or lumbar radiculopathy. Ideally, a physical therapist will design a customized exercise program for your particular problem. ...Read more

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Looking for info/ congenital spinal stenosis. I have diverse weak muscles + cervical spondylarthrosis, still active, but want to prevent for old age?

Looking for info/ congenital spinal stenosis. I have diverse weak muscles + cervical spondylarthrosis, still active, but want to prevent for old age?

Take care: My advice is to take good care of your spine. There isn't really anything you can do about congenital spinal stenosis. However, everything you can do to reduce wear and tear on your neck and low back would be prudent. This means avoiding activities which might lead to increased stress on your spine. ...Read more

Dr. Seth Akst Dr. Akst
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Diagnosed after conception with abdominal aortic aneurysm. I'm having anesthesia eval for labor. What are the dangers?

Dr. Seth Akst Dr. Akst
8 doctors agreed:
Diagnosed after conception with abdominal aortic aneurysm. I'm having anesthesia eval for labor. What are the dangers?

Aneurysm rupture: The most significant risk you face is rupture of your abdominal aortic aneurysm, which would be life-threatening for you and the baby. Elevated blood pressure is the most likely reason that your AAA would rupture at this point, whether the high BP is due to pain, etc. Fortunately, an epidural anesthetic can minimize the pain of labor and delivery, lowers bp, should be safe, and can be done early. ...Read more

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Horse Chestnut supplement are there ,any benefits at all to take for overall vascular health?dose recommended? Am being treated for varicose veins.

Horse Chestnut supplement are there ,any benefits at all to take  for overall vascular health?dose recommended? Am being treated for varicose veins.

Horse chestnut: Some compelling data that it may be of benefit Also bioflavonoids are good check online fruits and vegetables with high levels Diosomin and hesperidin also beneficial ...Read more

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Is there any side effects of ozone injections for disc issues? For both cervical and lumbar disc issues?

Is there any side effects of ozone injections for disc issues? For both cervical and lumbar disc issues?

Ozone injections: With the exception of ozone injected into a blood vessel (very bad complications) there are no known complications but also this therapy is questionable at best...What is being treated? I don't believe you should be trying this. ...Read more