Doctor insights on:
Fake Doctor Herniated Disc
A spine specialist: This could be a physiatrist, orthopedic spine surgeon, neurosurgeon and sometimes even your family practicioner can help. The good news is that most disks will heal with little medical involvement required; treatment with physical therapy, anti inflammatories and sometimes spinal injections are useful to help resolve the problem. ...Read more
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
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 more
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more
I was diagnosed with herniated disc in my lower and my doctor says I need surgery so how long is recovery?
Varies: Open discectomy a bit longer. In my practice I perform minimally invasive surgery whereby I use a 1.5-2 cm incision and dialate the muscles and use a tubular retractor (metrx). Back to work in 3-7 days, walking hours after surgery, no lifting greater than 25 lbs or axial loading maneuvers — jogging, squats, military press x 6 weeks. Folks with jobs that require significant manual labor- off 6 w. ...Read more
I have a herniated disc and had an epidural, doctor said it massively herniated, it has been 24 hours since the shot. Should I consider microdiscetomy?
Not necessarily : The decision is not only based on the size of the disc. The following criteria would push you toward surgery: the presence of weakness, duration of symptoms more than 6 weeks, repeated symptoms over years, superimposed spinal stenosis, and spinal cord compression if the disc is cervical. 24 hours is not enough time to decide that the epidural has failed. ...Read more
Neurosurg or ortho: Both neurosurgeons and orthopedic surgeons with a spine fellowship are capable to perform the diagnostic workup that includes a history, physical and MRI interpretation. Both of these specialties also understand the various conservative treatments such as chiropractic, pt, pain management, and acupuncture. Your surgeon should be able to transcend the bias to operate and provide optimal care. ...Read more
Neurosurgeon: Also, fellowship trained ortho spine surgeon.Get a more detailed answer ›
Spine specialist: Spinal specialist, could be a neurosurgeon, or orthopaedic spine surgeon. Also, for conservative managment, you can also see physiatrists. But remember having herniated disc does not mean you need treatment, unless it is symptomatic. ...Read more
Doc wants me to have spinal injection for sciatica/herniated disc. Is this just about $, why won't he try other options? I don't want injection.
Core Exercises: Typically, core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try to google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. If these are not helpful then consider the injections as possible options. ...Read more
I may be having a lumbar herniated disc as doc said. I have been into bodybuilding for 6 months. Can I go back to bodybuilding ever?
First we don't know if you actually have a herniated disc?
So the only way to be sure would be an MRI or CT of your lumbar spine.
Second if you have one you may be able to continue to bodybuild base on the severity and frequency of your symptoms.
There are professional athletes who have had disc problems including surgery and returned to their sport activity. ...Read more
My doc says I have herniated disc. He can tell from symtoms. Refuses MRI request. Says treatment is same. Why do most docs do MRI for herniation?
Most don't : Diagnosis can be made with near certainty from history and exam. Obtaining an MRI does nothing to treat the problem. So, if you improve as most do over the next 6-12 weeks, it will save the unnecessary cost of a $2-3000 study. Now multiply that by the number of discs seen nationally. It is unnecessary to obtain unless a reason exists otherwise. ...Read more
Are you suppose to have a cortisone shot if you have a bulging or herniated disc? When does a doctor preform a meg what would be the reason
SUPPOSED to have? No: In my opinion, cortisone shots offer limited relief to most people & the procedure often has to be repeated more than what is advertised due wearing off effects. Having said that, some people relate a lot of benefit & they're willing to live with the downsides. But just remember that the root cause of the pain is not being treated therefore, at some point you will always come back to square 1. ...Read more
I've been diagnosed with a herniated disc after severe pain for only 8 days but doctors are recommending immediate surgery due to leg weakness-advice?
good advice: If you have leg weakness in the setting of a herniated disc, urgent surgical intervention is usually warranted to prevent long term neurologic damage. ...Read more
TX for herniated disc l5s1 told to be cortisone injections, PT, or surgery Doc says no surgery due to weight 205lbs what other treatments are there?
Herniated disc: In most cases the discomfort from a herniated disc subsides without any treatment within 6 weeks. For additional up to date treatment options consider consulting a center that only specializes in spinal disorders. Pain management specialist may also be helpful even if you opt not to receive epidural injections. Bring your MRI images along with any record of treatments you already received with you. ...Read more
Got herniated disc C6 2 yrs ago that has not completed healed. Recently lower back started hurting with pain down to foot. What kind of doctor I see?
Primary care: You should start with your regular doctor. Pain in the back and herniated discs are very common. ...Read more
I have a herniated disc at t8 and t9 and an edema at t7 putting pressure on spinal cord. I see doc friday, should I be worried and careful until then?
Thoracic disc: It is very rare for thoracic discs to suddenly cause neurologic problems... Meaning paralysis. Most often the radiology report sounds worse than the real images reveal. Make sure the orthopaedic spine surgeon puts your complaints, examination and images together to make the right recommendation. It's truly a rare indication for surgery, only if the cord is really bad.... Good luck! ...Read more
Seven weeks ago doctor said I have a herniated disc in lower back. And sciatic nerve damage. I did theropy and it hurts worse now. No improvement?
Radiculopathy: Most herniated disks will get better on their own, however if the symptoms worsen after conservative treatment then other methods should be investigated. Surgery is an option when weakness, pain and sensory loss all correlate to the location of the disk herniation. Usually physical therapy, steroid injections and other methods are employed first. Seven weeks is not a long time. But try another way. ...Read more
My fiance got diagnosed w/a herniated disc in his neck 3mnths ago &today the doc said he needs an MRI done. Will he need a neck or cervical spine one?
Same: 'Neck' and cervical spine MRIs are the same... Looking @ the cervical discs, spinal cord etc. Best of luck. ...Read more
I recently saw my family doctor for pain in my calf and foot. My family doctor said I have a herniated disc in my low back, so she referred me
Consult: Consult service can be a very wise idea. It does not mean you will have surgery. It can help you and your physician to have the extra tool to decide what is the best care and option in your situation. The pain might be a combination of different things which medical consultation can be helpful. ...Read more
If you where my doctor, would you give me permission to go to a fitness center with 3 herniated disc in my cervical? As I said I have 3 herniated disc in cervical. I have a possible torn labrum in right shoulder. I was injured in sept of 2011. I had physical
I : I am glad that you are trying to improve your general health condition. Gentle exercises can typically be performed by patients with other debilitating conditions. This should help your conditioning and help you overall. It is impossible to say if it could be held against you in your workers comp case. ...Read more
What kind of specialist should I see about siatica I suspect I got herniated disc chiropractor or spine doctor? What one if best to get MRI through?
Carpal Tunnel left wrist. Shoulder bursitis left shoulder. Both hands going numb. C-4 herniated disc. What kind of doctor to see?
Start with spine : I would recommend to start with the spine problem first. The carpal tunnel may be secondary to the spine issue. ...Read more
I need to find a doctor to help me with my herniated disk. I have my MRI. I really need to find one in San Antonio tx?
See primary care: It is best to see your primary care physician locally for a recommendation. They will know the local doctors and can give you a referral for an othopedist that treats disc disease or a neurosurgeon. ...Read more
Have herniated. Disk tried the epidural shoot can't have surgery need a doctor who can help with my pain how do I find one?
Three options: There are three treatments for herniated disks that lead to sciatica. Physical treatments (pt, chirpractic, traction) medical treatment (nsaids, pain medication, muscle relaxers, and steroids) and surgical treatment. Generally we use the first options before considering surgery. Bets to find a local neurosurgeon to review your case and you're remaining options. ...Read more
Doc wants to remove disk and do fusion, herniated disk L5 s1. What is recovery time and what is there a high chance of pain relief?
Depends on procedure: There r many ways 2 fuse: anterior, posterior, or both. The 1 2 best advise u is ur surgeon. If u have doubts get an answer 2 which procedure is proposed ; why. If still not satisfied getting a second opinion is in order, but get all the details 1st. ...Read more
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 an x-addict
My doc told me I need mri. The scaitic nerve was inflamef. I have a bed back with degenerative changes & herniated disk in neck & back. What do u th?
Back MRI: The use of MRI in nowdays practice is way over than needed. For back issues, it is only good if surgery is considered, the diagnosis is unclear or there is suspicion for malignancy. If you know you have sciatica, conservative measures would have to be exhausted before MRI is considered unless history and physical suggest another reason for your pain. ...Read more