Doctor insights on:
Is Tylenol Good For Herniated Disc Pain
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've been on at most 1800mg of Tylenol (acetaminophen) a day for 1 yr a half for a herniated disk and severe TMJ, should I be concerned about liver issues I'm 22?
Can taking 1000mg of tylenol (acetaminophen) a day for 2 years for TMJ and herniated disk, cause liver to be sick! Should I do a month cleanse and then return to meds?
Can I take sinalgen (hydrocodone bitartrate and acetaminophen) and nimesulide before a herniated disc l5-s1 surgery? . I take this 2 for pain
Varies: The hydrocodone product is ok to take right up to surgery with the exception that most anesthesiologists prefer a patient not to take anything by mouth approx 6 hours before surgery. The nimesulide is an NSAID which inhibits inflammation, but also inhibits platelet fxn leading to risk of increased bleeding. I usually recommend no NSAID for 7 days preop, but surgeons preferences vary. ...Read more
Debil. Migraines, clear MRI, small bulging disk, neck inj with short term + results, scheduled for Botox, muscles hurt always Tylenol (acetaminophen) 4 4x a day Help!
Complex history: RSchaefer ~ it seems you are in good hands having had the MRI and being scheduled for botox. The only Drs capable of dealing with this type of complexity are neurologists, so best advice I can give is check in with a well known Neurologist and then stick with him as best results come from ONE competent doctor assisted by subspecialists. Thanks ...Read more
Yes, very good: The following medications are used for the pain of a herniated disc: anti-inflamatories (both steroidal and non-steroidal), analgesics, narcotics, anti-depressants, muscle relaxants, and anti-seizure medications. In term of both back pain and extremity pain, the anti-inflamatories work the best. Adding a narcotic for a limited time is appropriate in the acute setting. ...Read more
Core muscle strength: You need to do abdominal and low back strengthening and flexibility training. There are certain exercise regimens that are designed to stabilize the core muscles in the trunk to help with herniated disc issues. ...Read more
Careful exercise: Start by avoiding prolonged positioning ; repetitive twist or bend maneuvers. If you had physical therapy, resume exercises. Use of otc medication will help control symptoms. Cardio workouts may help except for rowing ; maybe running. If did not have physical therapy, you may want to get a session to learn exercises. Weight control ; not smoking are key. Core exercises like yoga ; pilates. ...Read more
First, lifestyle: Changes in terms of not being a smoker, staying trim, regular exercise (emphasis on core strength) & regular sleep habits. Most are treated non op with back support, pt, medication & pain management options which could include: epidural steroid injections, 90% are treated without surgery and if surgery is needed 95% success rate when leg pain worse than back pain and a nonsmoker. ...Read more
A herniated disc and thinking about surgery at laser spine institute. Disc replacement. Safe? Good institue?
Can massage therapy be good for L5 s1 3mm retrolisthesis where I have a herniated disc? Is a tens device better therapy?
Both can help: Massage will help with some of the sore muscles that are aggravated by the irritated nerves and the tens unit is very good for pain control by something called "gate theory", both modalities work in different ways and both can be of benefit. Physical therapy is the best for this though, so keep that up! Strengthening the supporting musculature and core will help stabilize the slip and herniation. ...Read more
Swimming good for bulge disc/herniated disc lower back? What this also help with tight, stiff muscles? Help to put pressure of pinched nerves?
I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trigger point shots. The chiro is saying no. Is physical therapy good for this or adjustments?
Diagnosis first: The injections are to confirm clinically what the pain generator is he is trying to figure out what pain is coming from where, the disc causes refered pain but usually not tenderness confirming the working diagnosis for pain is alwys a good idea. ...Read more
I have herniated disc and deteriated disc lower back pain and numness in right leg is laser surgery a good cure for this?
Is artificial sphincters surgery good for patient with neurogenic blader caused by cuada equina due to herniated disk? Do you recommend?
NEUROGENIC BLADDER: Whatever the neurologist recommend for the neurogenic bladder. He has experience on that condition. ...Read more
Sometimes: Several surgeons use an endoscope to do the disc removal while many more use a microscope. As long as the surgeon is well trained in the procedure then it is a viable (although less common) option. ...Read more
What is a good way to alleviate pain due to a bulging herniated disk that is causing sciatica nerve pain?
Sciatica: If the pain is severe start with a day or so of rest heating pads and nonsteroidal anti-inflammatory medications. As the pain starts improving you can gradually increase your activity level and start some gentle exercise and stretching. If the pain lasts more than one or two weeks or is accompanied with muscle weakness, bowel/bladde problems numbness or tingling you should see your doctor sooner ...Read more
I don't know much about herbal medicine but don't have good insurance. Are there any plant treatments for herniated disk?
Herbal Rx for HNP: While herbal treatments have not been shown to have any direct effect on herniated discs, time may be your best friend as many disc herniations can resorb and get smaller spontaneously and not need surgery, epidural steroids may be more beneficial for pain control. A short period of rest followed by therapy is always warranted. Surgery is indicated for progressive pain or neurologic deficits. ...Read more
Is Nucynta (tapentadol) safe to take with Harvoni. I have an F 2, A1/2 fibrosis liver score? I have 2 herniated discs and can't take ASA, Tylenol, or NSAID.
Yes and no: On one hand, nucynta is a narcotic that does not have Tylenol (acetaminophen) or NSAID in it, so that is good in your case. On the other hand, it is metabolized by the liver. And so if you do have issues with your liver it would be best to discuss with your doctor about whether it would be sdvisable in your specific case. ...Read more
Is it ok to take tylenol (acetaminophen) 3 with codeine for my herniated disc pain while battling a stomach virus?
Yes: Start with physical therapy and core conditioning. At some point an epidural steroid injection might be helpful. If all else fails and your symptoms impact your activities of daily living, surgery can be curative. I would suggest seeing a spine surgeon with expertise in minimally invasive spine surgery if it comes to that. ...Read more
Fix, Unlikely...: Core strengthening can be the source to heal the disc as best as it can. Sometimes epidural injections are needed to reduce to the pain to keep with the exercise routine. Finally a fix would truly be surgery, in which you cut out the offending part of the disc, however it has its risks/benefits as well. ...Read more
Does not really: Herniated discs do not regenerate -it edge rates and when removed and "recurs", it is really residual disc, not regenerated disc ...Read more
Yes: Not only can you, but the vast majority of herniated discs are not painful. We know this by looking at many mris of patients without back pain where many herniated discs are seen. Getting a herniated disc is like getting a cold or a headache. It is part of life. Some herniated discs can cause pain, however. The art of the evaluator is to discern whether your disc is what is causing your pain. ...Read more
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