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Doctor insights on: Is Tylenol Good For Herniated Disc Pain

It can help for sure: Not sure how much. Consider some ibuprofen with that Tylenol (acetaminophen). If not helping enough speak with your doctor about other options. ...Read more

4,000 mg/max/day: 1800 mg of Tylenol (acetaminophen) in a day is a safe dose. Ask your doctor about about rehabilitation, exercise and alternative treatments for a herniated disc and TMJ. ...Read more

Unlikely: 1000mg a day is a low dose. However tylenol (acetaminophen) is a known cause of liver failure. Have your MD run some liver tests to check your liver function. ...Read more

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

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

McKenzie: Talk to your therapist about mckenzie directional-preference based therapy. In most people excercises of lumbar extension help to centralize pain, but not the case in all people with disc herniations. Far lateral disc herniations tend to respond to lumbar flexion exercises better. Get formal evaluation to see what directional preference therapy best for you. ...Read more

Yes: Relaxation is important when there is symptoms from a herniated disc. Yoga can help relax and this could help release any additional pressure. Important to note that often other measures are needed to relief symotoms from disc herniation. This includes injections and surgery. ...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

Surgery: all surgeries care a risk. i know little about the laser spine institute. i would always recommend a second opinion ...Read more

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: Swimming is a very good activity for someone with back pain. The water helps to unweight the spine. I refer many of my patients for water therapy. ...Read more

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

Perhaps: You need to see the orthopedic or neurosurgeon for exam and evaluation for the laser procedure ...Read more

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

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

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

Yes: Tylenol (acetaminophen) is a mild non narcotic analgesic, it can help herniated disc pain, but complete depends on the severity of the disc problem and the degree of pain. ...Read more