Top

30

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

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

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

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

NO: Hi, Tylenon#3 has Codeine itself so I don't recommend taking Codeine and doubling the dose as it might increase the risk of toxicity. If your pain is not well controlled then talk to your doctor for adjustment of your pain medication. ...Read more

Hard to Say: Some families have predisposition for back ailments, but hard to say if disc herniation specifically is related to genetics. ...Read more

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

Steroids surgery: Mefrol dose pak MRI see a surgeon. ...Read more

Yes: Co2 buildup after sleep can increase nerve swelling. ...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

No: The sites for potential effect on the nerves are different. The piriformis muscle is located just on the backside of the pelvis and may impact on the sciatic nerve. A herniated disc would impact nerve roots at the level of the spine. ...Read more