Doctor insights on:
Best Pain Medication Herniated Disk
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
I have a herniated disk, what medications are best used to treat this until surger. I'm curious. What i'm on makes my heart hurt. I dislike narcotics.?
Various: If you've failed pain injections and are waiting for surgery, you may want to speak to your doctor about non-narcotic medications. These can be pain specific, like tramadol, or nerve specific, like gabapentin. Muscle relaxants may also help, or anesthetic patches, like Lidocaine patches. Talk to your doc about nsaids, but they may need to be stopped before surgery. Good luck. ...Read moreSee 1 more doctor answer
I have RA as well as 2 herniated discs lumbar, 1 cervical herniated disk, spinal stenosis, OA. What is the best medication for pain mgmt w/o tiredness?
Ask your DR: Information and advice for your question is best to come from your DR who has all your medical history and the latest exam findings ...Read more
Many: As long as there is no neurological damage (numbness or weakness or bowel/bladder dysfunction), then you can start with daily stretching and core strengthening exercises. Pt or chiropractic care can help. Cortisone injections are popular. Surgery if all else fails. ...Read moreSee 1 more doctor answer
Depends: There is no "one best" treatment for a herniated disk. Most normal, healthy people with no back pain have detectable bulges in some of their disks so we know that not every herniated disk even needs treatment. You should see you doc and together design a treatment plan that treats your symptoms and gets you back as close as possible to your desired activity level. ...Read moreSee 1 more doctor answer
Depends: A herniated disk is only problematic when it puts pressure onto a spinal nerve, resulting in pain, numbness, and/or weakness in the nerve distribution. As we age, most people develop disk bulges and herniations that are expected aging changes and do not produce symptoms or warrant treatment. Most symptomatic herniations can be treated without surgery, however a small percentage may need surgery. ...Read moreSee 1 more doctor answer
Needs evaluation 1st: If you've had the proper evaluation, been through physical therapy, medications to control pain, etc....and you are now bedbound and immobile with pain and maybe even some leg muscle weakness....time for surgery. Otherwise, I would continue to do things conservatively, try aquatherapy, water jogging, stretching, yoga, massages, etc. ...Read more
What is best for a moderate pain herniated disk, rest or activity? I waited a week before resuming running/incline walking and the pain is now worse.
Can you tell me about the best way to alleviate pain due to a bulging herniated disk that is causing sciatica nerve pain?
Time is the best : healer as the majority of disc issues improve but exercise guided by someone experienced in this area along with avoiding activities that aggravate symptoms such as bending and twisting along with prolonged positioning. Get into shape by keeping trim, avoid smoking and develop a regular exercise regimen. Use of NSAIDs can help if no contraindications as well as epidural steroid injections too. ...Read moreSee 2 more doctor answers
What is the best non-narcotic pain med. To take for herniated disk?My doc says only a narcotic will help but i refuse to take any cause i'm a x-addict
NSAIDs: I understand your trepidation. You may want to discuss nsaids with your physician. Thee are drugs like Ibuprofen and naproxen. Of course like all drugs they are not without side effects like GI ulcers, rectal bleeding.Etc. Talk it over with your physician. ...Read moreSee 3 more doctor answers
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
Can a cerivcal herniated disk cause numbness and tingling in arms and legs? If so what is the best treatment?
CDH : A bilateral posterior and central herniated cervical spine intervertebral disc can cause numbness and tingling in both the arms and legs. Other symptoms may or may not be present and signs and symptoms are not always symmetric. This would be consistent with myelopathy in which case you would want surgery soon. ...Read moreSee 3 more doctor answers
Depends: Sometimes they are not the cause of a pain as they can be found in people who have no spine problems. For those that it does, most just get better with time. Additional help can be through: activity modification, guided exercise , medication, epidural steroid injections, and if all fails, surgery. Being a smoker, obese and not an exerciser but you at a higher risk of failing treatment. ...Read more
Time & exercise: A herniated disc does not necessary require treatment. If there is associated nerve root compression/irritation then treatment may be required. Understand that 90% of pain associated with nerve root irritation will resolve with time. Otc prescription nsaids, oral steroids, heat/cold and stretching exercises will help resolve the acute pain. If not then epidural steroids may be beneficial. ...Read moreSee 1 more doctor answer
Depends: Believe it or not many herniated discs cause no symptoms at all. If the herniation irritates or compresses a nearby spinal nerve root, people will often report back and leg pain on the side of the herniation. Depending on which disc herniates, the pain can occur on the front, side or back of the thigh and leg and can go down into the foot. Some people will have weakness and numbness. ...Read moreSee 1 more doctor answer
Yes you can: You can over treat any disease. It all depends what the complains of the patient are. If the pain is very minimal and the person can control it with over the counter medication, every other form of treatment would be considered over treatment. On the other hand, there are forms of disc herniation that fail all conservative measures and need surgery. Every case is unique and requires common sense. ...Read more
The best ...: Most are diagnosed through a clinical evaluation with testing done to confirm the diagnosis as the number of disc herniations found in patients without symptoms increases with age. Knowing that, MRI is probably the best imaging test followed by a ct. A myelogram-ct is excellent as well with a contrast MRI the best test for people with prior back surgery to distinguish post op scar from a disc. ...Read moreSee 1 more doctor answer
Lumbar (Low Back) Herniated Disk (Definition)
A herniated disk is a medical condition in which the gel like disk between the bones of the spine squeezes out of its center position. ...Read more
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