Doctor insights on:
Nutritional Supplements And Treatment Of Degenerative Disc Disease
A dietary supplement, also known as food supplement or nutritional supplement, is a preparation intended to supplement the diet and provide nutrients, such as vitamins, minerals, fiber, fatty acids, or amino acids, that may be missing or may not be consumed in sufficient quantities in a person's diet. Some countries define dietary supplements as foods, while ...Read more
What would be your choice of treatment for migraines, fibromyalgia, cervical stenosis, degerative disc and joint disease, TMJ & myofacial combined.
Variable: There is no single medication which will provide significant relief for all of these disorders; you should see your pcp for this complex dilemma. A good starting point for therapy is non-steroidal anti-inflammatories, like aleve. Add to that a general neuropathy rx like lyrica (pregabalin). Each case and response to therapy is different -- see your doctor. ...Read moreSee 2 more doctor answers
Pretty much: The most common type of arthritis is known as degenerative arthritis and describes the gradual wearing down of the cartilage cushion in a particular joint. In the spine, the disc serves as the cartilage cushion between the vertebrae. When it gets worn down this is known as degenerative disc disease, which essentially is a degenerative arthritis of the spine. Thank you for your question. ...Read moreSee 1 more doctor answer
YES: Degenerative disk "disease" is a misnomer. This is not a disease but rather describes the normal age related processes that occur to our disks. These changes include disk dehydration, disk bulging / protrosions/ herniations, and disk space narrowing. These processes can be visualized nicely with an MRI scan and sometimes can be inferred by an xray. ...Read moreSee 1 more doctor answer
Yes, Absolutely!!: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro). After they've been maximized & stronger meds ate needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Good supplements: coq10, mvi, b-complex, folate, asa. ...Read moreSee 1 more doctor answer
A variety: Of non steroidal anti inflammatory medication as long as there are no contraindications like allergies, use of blood thinners, kidney or liver disease or ulcer/reflux issues . Tylenol (acetaminophen) is an option. Other types of drugs like cymbalta, Elavil and neurontin/lyrica may also help. Ideally, not smoking, regular exercise and weight control are also helpful. Good levels of vitamin d also are important. ...Read more
What are permanent treatment options for lumbar disc diseases, like disc dehydration, bulging, and tear?
I do not know: It would be best to ask an ayurvedic practitioner what kind of success they have had. I am sure it would help in recovery if surgery were needed. I would suggest acupuncture as i know it can help with back pain. I have seen amazing results with bulging discs and acupuncture. And is it so bad that surgery is needed or still in a bulging position, not fully blown out? ...Read more
Multiple : If no pain, don't worry about it otherwise: exercise, keep your weight down and do not smoke if you have that habit. Sometimes use of medication can be indicated ranging from over the counter to prescription ones. Getting a good night's sleep in a decent mattress can help. Some people like simple elastic back supports and inversion tables too. ...Read moreSee 1 more doctor answer
Misnomer: For practical purposes, it's a misnomer describing an aging disc. It's like telling someone with wrinkles that she suffers from "degenerative skin disease". Radiologists love to use this term, so do busy spine surgeons. "disease" makes it sound like you urgently need a fusion or artificial disc implant. All our discs "degenerate" over time and most of us never have any trouble from that. ...Read moreSee 2 more doctor answers
Little to offer: There is one uncommon form of cerebellar degeneration that is kept at bay by very large doses of vitamin e. A b-complex with c vitamin is sometimes given to anyone with brain disease. Beyond this, the primary cerebellar degenerations are progressive and incurable (the only real mimic is paraneoplastic cd). Love those around you & be sure they know of your wishes and needs. ...Read more
Meds/Shots/Surgery: First line--medications (advil, aleve, (naproxen) etc.--avoid opiates if you can!) as needed for pain relief, ergonomic adjustments at work (good seating posture/distance from computer, etc.), gentle neck exercises. Second-line: steroid+/- Lidocaine injections for pain not controlled with medications. These injections last from a few weeks to several months. Third line: neck surgery. The results are mixed! ...Read more
What are the means by which antioxidants prevent of chronic diseases such as cancer, heart disease, and macular degeneration?
They don't: There's a whole lot of conspiracy-mongering going around these days that somehow the pharmaceutical and health care industries are suppressing some "magic bullets" that can prevent all of these diseases. If this were true, i don't know a doctor who wouldn't immediately shout it from the roof-top and get all of their patients on the stuff. ...Read moreSee 1 more doctor answer
A sequence: Degenerative discs leak fluid which sets up a significant inflammation with pain and sometimes dysfunction of sensory and functional nerves. Treatment includes rest, ice (not heat) and good physical therapy along with nsaids. Steroid injections can sometimes help. If the condition persists more than 3 months, surgery is sometimes needed. ...Read more
Depends: The answer depends on the anatomy of the problem and of course the symptoms present. Many people have degenerative discs and live pain free. Fusions can be done if there is instability or deformity present. Disc replacement can be done in the absence of instability and deformity if the patients pain correlates well with the imaging findings. See a spine surgeon to discuss further. ...Read more
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