Doctor insights on:
Pain Involved In Discogram
Yes: In any major spinal operation, pain is expected during the initial week or two after the surgery. There is no difference in having pain with an anterior/posterior (360 degree) fusion. The major difference is that there are two major incisions on the body, so there could be abdominal discomfort in addition to requiring medications for pain. ...Read more
Lots: However there are many options for treatment. Medications like anti-inflammatory options like ibuprofen, naproxen, etc. Other options include synvisc/euflexxa injections to help lubricate the joint or even platelet/stem cell therapies as well. Generally these options are not covered by your insurance though. Check out regenexx.com. ...Read moreSee 2 more doctor answers
Nerve heating: Spinal nerve clipping is usually done by pain management anesthesiologist by inserting a needle into the back and directing it to the nerve root channel in the spine with x-ray. The needle is then heated to destroy the nerves. It is rare for surgeons to offer open clipping of the nerves. The results vary; some patients have months of relief, some have little benefit. ...Read more
Facet joint pain or si joint pain? Pain is located in lower left, 2 inches from spine (l5-s1 area). No reffered pain. 2 somewhat positive facet blocks
Can Be both: However if the facet block gave you 70-100% pain relief, then more likely to be your fact joint. If less than 50% relief, then consider the SI joint as a definite source of your pain. Also if not ruled out already, I often find things like spinal stenosis or herniated discs also have this same pattern of pain. ...Read moreSee 1 more doctor answer
Labrum tear in shoulder, spinal stenosis c6-7 had mri,ct epidurals. No relief. Not sure which area is causing greater pain. Confused and in pain?
Multifactoral: Shoulder and arm pain from the shoulder joint can overlap with pain from the cervical spine. In a simple sense, if you move your arm at the shoulder - like bending your elbow and rotating the arm inside and out, or lifting your hand over your head - and it reproduces your usual pain, then it's probably your shoulder. But it can take careful examination and experience to tell the difference! ...Read moreSee 1 more doctor answer
Herniated L5/S1 w/sciatica. Would microdiscectomy surgery help with SI joint pain or just the sciatica?
Yes: Not all arthroscopic surgeries are the same. Some are less painful while others are more painful. Unfortunately, all involve some level of pain and discomfort. However, pain medicines by mouth are almost always effective at controlling your post-op pain. Arthroscopic surgeries tend to be less invasive, and less painful, and easier to rehab compared to the similar open surgery. ...Read moreSee 2 more doctor answers
Unlikely: Most MRI units do not have the power and/or not set up sensitivity wise to detect most soft tissue injuries unless severe. There really is no indication to diagnose this condition by MRI as it can be made clinically and treated with good success. It is not indicated and a waste of money to get a MRI for this diagnosis. ...Read more
Highly Variable: My experience in my patients is that for the most part nerve blocks (whether in the lumbar or cervical spines) are not overly successful in terms of duration or amount of relief. The reason is simple. That type of pain management is purely symptomatic & never treats the cause. Pain blocks will NEVER help numbness since that is the result of the neuropathy which is what has to be fixed. ...Read more
Is it tpicical for sciatic pian to change;ie pain shooting down leg 2 pain only in ankle, the farther u go in the healing process of a herniated disc?
Often they can.: Discuss this option with your medical provider. ...Read more
What disc would be involved when I have burning pain in the neck with radiating pain in the arms? The burning pain in my neck causes numbness also?
1 or Several: Burning pain in neck/arms may or may not involve disk(s). At Google image "neck vertebrae" and "brachial plexus". The plexus is complicated: nerve roots and trucks combine, separate then form separate nerves that supply strength and sensation to your arms and neck (and shoulders and upper back/chest). Only way to know if disk is involved starts w/doctor's exam ...Read moreSee 1 more doctor answer
Can si joint problem cause pain in calf? sharp pain over left SI joint plus a bit in hip but also have stabbing pain in calf had MRI and spine is fine
SI jnt pain not calf: SI joint pain refers to low back primarily, but can radiate to upper buttock, posterior, lateral,thigh, and occasionally to groin. Calf pain is not related to SI dysfunction. Visit a PMR doctor or orthopedist for an evaluation to determine the cause of your pain, and start a treatment program ...Read more
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