Doctor insights on:
Rare Spinal Diseases
I have a very rare spinal disease called adhesive arachnoiditis. I am wondering if there is any treatment?
Arachnoiditis (spine): The symptoms of arachnoiditis can be treated with medications such as membrane stabilizers (like gabapentin), antidepressants and other pain meds. Dorsal column stimulation can also decrease its symptoms. Unfortunately, there is no cure or reversal of arachnoiditis yet... ...Read more
Orthopaedic Surgeons: I admit my answer is (as all answers are) biased. Orthopaedic surgeons, neurosurgeons, rheumatologists, neurologists, physiatrists (rehabilitation doctors), and pain doctors (often anesthesiologists) are specialists, but internal medicine and family practitioners see an awful lot of back pain as well. ...Read more
Variable!: Degenerative is part of the human condition. It can be silent (no symptoms). It is often associated with discomfort in the neck, mid back, and low back. If there is nerve or spinal cord irritation (compression, inflammation) there can be nerve symptoms (numbness, tingling, weakness, trouble walking, trouble controlling bladder and bowels). The problems vary widely in type & severity. ...Read more
Guarded prognosis: This typically means that based on the condition we cannot make a clean cut determination as to which way pone could go. Essentially you have a 50/50 chance of getting better or getting worse. ...Read more
Nerve root traction:
What are the spinal disorders that cause neural tension?
Nerve traction or neural tension can because by anything that stretches the spinal cord and nerve roots. Some of those conditions are spinal stenosis, spondylolisthesis, herniated or bulging discs. Bone spurs at the exit of the nerve root at the neural foramina can also cause nerve traction. Least likely is a space occupying lesion such a. ...Read more
Spinal Disease: This is a very general term. Spinal disease can occur in the cervical (neck), thoracic (mid back), or lumbar (low back) spine. Typically, patients will have neck or low back pain secondary to degeneration of the spine or wear and tear. Patients can suffer disk herniations, spinal stenosis (narrowing of the spinal canal), formation of bone spurs, etc. Pain can also be due to trauma or fractures ...Read more
Djd: Yes exercise is always good. Degenerative disease is a normal process of getting old. Not all instances are necessarily painful. Exercise with strengthening is always good as it takes up some of the stress on the affected areas. You basically exercise according to your level of tolerance. ...Read more
Cord problem: A spinal cord tumor could do it, or anything else that damages the cord. ...Read more
Depends: It depends on the symptoms and their severity. Many folks respond well to simple measures like exercise, stretching, strengthening, over the counter medicine. More severe problems do better with the guidance of a spine specialist, assessment, testing and treatment. ...Read more
Type 0 SMA: Is the most common. The literature suggests there should be absent reflexes but this is not always the case. Autosomal dominant condition with 1/80 carrier state. There is a blood test for this. ...Read more
Yes, quite uncommon: But, what prompts your concerns? A variety of tumors may present over the thoracic vertebrae, some causing nocturnal pain responsive to aspirin, others compressing the spinal cord, resulting in urinary incontinence, leg weakness and numbness. Since often insidious, and slowly progressive, if there is high suspicion, would urge MRI study to pin down. ...Read more
Spinal disease: Certainly your pcp, also neurologist, neurosurgeon, orthopedic spine surgeon, pain doctor, rehab medicine doctor can also do this for you. ...Read more
Usually not needed: Lyme disease does not require a spinal tap to diagnose. There are blood tests that can be helpful but the history of a tick bite, rash, fever, headaches, joint aches or arthritis is helpful. However, most people with lyme do not have a known history of a tick bite. You do live in an area where lyme is common (nj). Go to www. Cdc. Gov/lyme for more reliable information. Avoid misdiagnosis. ...Read more
Spine disorder: A guarded prognosis means that the future of this disease is not well known and significant complications may occur. No one has a crystal ball so seek another opinion for clarification. ...Read more
Are you worried?: ALS is the disease I think of first. Are you concerned that you have one? There is no background information in your post whatsoever, so under the circumstances I can't think of anything to add. ...Read more
I am affected spinal TB (pott's disease)for 4 month and please say what are the food to be taken to recover...now I fell better and I also take tablet?
Keep taking Rx: Pott's is extremely serious and I'm glad you're taking medication. Do this without fail and don't distract yourself with any nonsense about food choices affecting your recovery. Eat sensibly but don't expect any magic food to really help or hinder. ...Read more
Low impact Yoga: Is a great way to gain flexibility. Try YouTube video for beginners ...Read more
Can degenerative spinal disorder start at my 20's? My x-ray&mri show so. What could have contributed to such process? Is there any gene predisposition?
A debilitating neurodegenerative disease resulting in muscle cramps and progressive weakness due to degeneration of motor neurons in the brain stem and spinal cord.
The condition is associated with mutation of the androgen receptor (ar) gene and is inherited as a x-linked recessive. As with many genetic disorders, no cure is known, although research continues. Described by dr kennedy in 1968. ...Read more
Yes: Flying should be safe with these conditions. The main thing while flying, if you are having pain in particular, is to get out of the seat, walk around the plane, and do some stretching. ...Read more
Thickened bone: In paget's disease, the bones break down, then try to rebuild themselves. The problem is, the new bone formation is abnormal - the bone is laid down haphazardly and is weaker and thicker than normal bone. If this happens in your vertebrae, the thickened bone can put pressure on the spinal nerves. ...Read more
What to do if I had my MRI scan so please help me to interpret and cure my spinal disorder accordingly?
When do people get spinal taps? I'm 18. Neurological disorders since august 2012. I'm fallig into pieces.
R/O infection: A better description of your neurologic symptoms would help. Generally spinal taps are obtained to r/o infections of the nervous system. In your age group other causes may require an LP such as demyelinating disease, auto-immune mediated epilepsies, and nutritional/metabolic disorders. Other test results from ct scan/mri are used in conjunction with the LP results to provide an answer. ...Read more
Is spinal decompression therapy a definite cure for degenerating disc disease or is it just a pain treatment?
Pain treatment: There is no know cure for disc degeneration. ...Read more