Doctor insights on:
Back Sprain Vs Herniated Disc
Lumbar disc degeneration,facet hypertrophy,3mm spondylolisthesis L5-S1.Severe low back pain, radiates down hips and legs.Benefit from pain mngmt?
-R used interchangeably. They refer 2 injuries 2 mucles & ligaments. 3 degrees: 1=tweaked or hurts but no harm no foul, 2=damage 2 the structure with some bleeding & prolonged pain,but with ice, time , rest,& activity modification they heal over a few weeks,3=a complete disruption such as an ACL tear. If this happens in a muscle body, there's no repair available, painful, ...Read more
Herniated disc: If you have a confirmed herniation with an MRI, the first line of treatment is usually a steroid injection around the nerve performed by a qualified pain physician. You may require more than one, but no more than three in a year. If the herniation is large and you have weakness, surgery is the best option. Along with these treatments, you may be given an antiinflammatory medication as well. ...Read moreSee 1 more doctor answer
Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?
So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more
See a doctor: I assume you have had an MRI to know this. A herniated disc may cause leg pain and numbness, but with medications, physical therapy, injections, the symtpoms may resolve. However, if the pain persists, or you develop weakness you should see a spine surgeon for further evaluation. ...Read moreSee 1 more doctor answer
Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?
Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more
Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?
It may be that you : Have them all as everyone ages so by 49 as a male, there are degenerative or arthritis changes in the spine termed spondylosis. By age 60, 20% have some narrowing or stenosis of the spinal canal. Disc herniation can lead to it too all resulting in nerve compression which can cause arm/leg symptoms termed a radiculopathy or in leg also known as a sciatica. ...Read moreSee 2 more doctor answers
Weeks to Months: Generally most people can get relief from sciatic pain doing the conservative care within 3-6 weeks. If it persists after that, it can take up to 6 months to heal by itself. Consider core strengthening exercises while you are on your own at home. You may still be a candidate for epidural steroid injections that may help relieve the pain while your body heals itself. ...Read moreSee 2 more doctor answers
Herniated cervical disc n bulged lumbar disc. Is chiropractor treatment or physiotherapy better? Is traction n spinal manipulation the same?
Annular tear: Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it. ...Read moreSee 1 more doctor answer
Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read moreSee 1 more doctor answer
Am I facing back surgery? Spinal stenosis. Radiculopathy . Osteoarthritis and degenerative spondylolthisethis
Depends: number of conservative treatments to try befote surgery. These include: therapy, injections, meds, etc. Please exhaust all of these before am operation. ...Read more
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
"radiating pain": If refers to radiating pain from a specific nerve distribution - usually from an upper region to a lower region, i.e. Back down th leg, or neck to the arm or shoulder. . Each nerve carries a signal (and pain) to a specific anatomic location. (compare to a sprained ankle that can be diffusely painful and numb rather than focally numb and painful in one location. ...Read more
Encroachment: Any condition limiting space for the nerves causes encroachment. A herniated disc would cause encroachment. A bone spur would also cause. Encroachment does not imply pressure, or severity, or the presence of symptoms. ...Read more
Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read moreSee 2 more doctor answers
Yes/no: I was trained using hospital based lumbar traction, it did very little to help disc disease in that by the time we applied enough traction to help the patient they were at the foot of the bed and no force applied.Modern traction (drx 9000) can apply your body weight to a specific disc segment and really make a difference.At your age please look into this treatment. ...Read more
Why is My left index finger tingling&numbness.have herniated disc in neck &moderatedisc bulge inlumbar spine &sciatica.
Tingling finger: A tingling finger can be from anywhere in your central nervous system, including your brain and spinal cord, or peripheral nerves, impinged anywhere from the spinal cord to the finger itself, including in the wrist. A full exam is necessary. Given your history of a herniated disc in your neck, you may have radiculopathy radiating from that level to a particular dermatome in your hand. Call your MD ...Read moreSee 1 more doctor answer
Had MRI of complete back/spine. Results were minimal disc chnages. How does this happen? Is this "wear and tear" of the back? Sprain/strain?
See below: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it. ...Read more
Have you ever heard of anybody with really bad posture from a lower back sprain ever overcome it?
No: PT and appropriate treatment will help.Get a more detailed answer ›
Usually 8 weeks: Most back sprains heal in 8 weeks no matter what treatment is used as long as you do no re-injure it. This explains why so many methods claim to heal sprains. The main ingredient of acv is acetic acid. However, vinegars also have other acids, vitamins, mineral salts, and amino acids. Some small studies have hinted that apple cider vinegar could help with several conditions, such as diabetes and ob. ...Read more
Can a really bad back sprain at the L3 L4 and L5 that doesn't heal correctly cause an anterior pelvic tilt?
I was prescribed 10 mg of Baclofen for a back sprain/tightness. Is constipation a common side effect? Will it go away as I take the medication?
Common side effect: Unfortunately baclofen does cause constipation as a side effect in many patients. Cases of intestinal obstruction have been linked to the use of baclofen as well. My recommendation is to either reduce the dose or to visit your GP and change over to an alternative medication such as Orphenadrine. You can also try increasing your fluid and fibre intake as well as taking mild laxatives. ...Read moreSee 1 more doctor answer
Lowe back sprain 3months ago. Still on meds but still hurts as much. Had an MRI scan last week but my legs are hurting now so I am worried.. help?
Difficult to advise: with wisdom from a distance. However, suggest studying the work of Robin McKenzie & John E Sarno for understandings likely to be helpful. MRI does not see the cause of pain; only one way of looking at anatomy, better for soft tissue than CT & no radiation, yet can easily be interpreted in misleading ways which sell fear, procedures & treatments which not only don't work but can make things worse. ...Read more
Diagnosed with lower back sprain 3 weeks ago, cracking and stiffness and pain of back. Teen athlete i play HS lacrosse. When will my back be painless?
Back pain: You must give your back a chance to recover. That means no back exercises for 3-6 weeks. At night lie flat in bed without a pillow. Use either heating pad set on low or use ice packs whichever is more comfortable. Ibuprofen for pain also se a physical therapist for back exercises. Good luck! ...Read more
Diagnosed with lower back sprain in mid April and I still have lower back pain in June, when will this go away I am doing PT 2x it always feels tight?
Bad stomach pain, loss of appetite and rapid weight gain. Is it a concern when taking Medrol (methylprednisolone) pack for 2 wks? Ortho DR told me take it for Back sprain.
I'm on Oxycodone and 600mg ibuprofen every 4-6 hours for a lower back sprain., can I replace the ibuprofen with robacacet? The pain is still intense.
No.: These are similar narcotics. What you need is a good doc. A back sprain never requires heavy narcotics such as you are taking. Get a second opinion or should I say a third after mine. If your diagnosis does not change (I doubt it.) switch to a Pain Management specialist. Prolonged pain can change the way you brain feels pain. This must stop. Do not become a doctor-caused addict. ...Read more
Not neccessarily : I have unsuccessfully tried to make a science out of sleeping positions and mattress types for various conditions. Sleeping on the back is usually best for herniated discs- particularly if the disc is not all the way out. Sleeping on the back places the back in extension and reduces many discs. If the disc is fully extruded, he may be more comfortable on his side which will provide more room. ...Read moreSee 3 more doctor answers
A sprain is a medical term that describes an injury to soft tissue structures in the area. Common examples are a lumbar sprain, in which you might injure muscles in your back; or an ankle sprain in which you could injure ligaments about the ankle. Sprains can be from mild to severe, and so ...Read more
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