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Doctor insights on: Rmi Detect Herniated Disc After Medications

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Exercises that are safe after lower spine surgery for herniated disk?

Exercises that are safe after lower spine surgery for herniated disk?

Clearance by surgeon: After clearance, a progressive program emphasizing core strengthening, flexibility, good posture, and proper use of lower back mechanics. Don't do those things that aggravate your symptoms. May need work with a physical therapist or trainer. ...Read more

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Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more

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Can an inversion table/traction worsen a degenerated lumbar disc & reduce disc height more? How?

Can an inversion table/traction worsen a degenerated lumbar disc & reduce disc height more? How?

Worsen: Could it worsen the pain? Yes, that is possible. Could it decrease the intervertebral (disc)space, i doubt it. ...Read more

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What are indications for spinal stimulation implant? I have cervical spondyl. and torn lumbar disc w/ degenerative disc disease. Tens unit helps.

What are indications for spinal stimulation implant? I have cervical spondyl. and torn lumbar disc w/ degenerative disc disease. Tens unit helps.

If surgery ,physical: thearpy , oral pain medications , epidural injections fails to give you a relief the next step would be spinal stimulation implant. ...Read more

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Which is better for?A herniated disc --- ?Discectomy or fusion?

Which is better for?A herniated disc --- ?Discectomy or fusion?

Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read more

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Will an MRI show a lumbar herniated disc even after anti-inflammatory medications are given?

Herniated Disc: Yes, an MRI should still show a herniated disc even after anti-inflammatories have been used. The drugs should help reduce swelling, but a herniated disc is a physical bulge from the disc pushing into the vertebral canal causing pressure on one or more nerve roots. No drugs can change that, even if they make the perceived pain less. ...Read more

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MRI cervical spine showed 2 central disc herniations, a bulge, 2 uncovertebral joint hypertophy into thecal sac. How long until i heal, i am doing PT.

MRI cervical spine showed 2 central disc herniations, a bulge, 2 uncovertebral joint hypertophy into thecal sac. How long until i heal, i am doing PT.

Can take 1- 2 years: MRI's of the cervical spine show the current state of the the spinal elements as they change over time.Several of those changes such as uncovertebral joint hypertrophy are a response to gravity and changes in the disc.The disc herniations will do their best to heal slowly over time, however they are due to aging and degeneration with water loss.In the meantime continue PT and regular f/u w/your MD ...Read more

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Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Back surgery: You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. ...Read more

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I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read more

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Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. ...Read more

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Bloodwork great; MRI showed bulging discs w/moderate-severe narrowing @ neural foramina. Meds don't help burning in feet/legs. Pins/needles ok. Next?

Bloodwork great; MRI showed bulging discs w/moderate-severe narrowing @ neural foramina. Meds don't help burning in feet/legs. Pins/needles ok. Next?

Cause/effect PROVEN?: It's GREAT that bloodwork's GREAT! But WHICH tests were done please before "celebrating" MRI IMAGE=REAL CAUSE of symptoms? Was EMG/NCV done too? If not, why not? Only then, would I agree that MEDS useless. Next steps could be PT, TENS unit, OTHER meds, & finally, surgery in that order. I could explain more in private consult if you'd like: www.healthtap.com/drsaghafi Key Code: PDXFNR Cheers! ...Read more

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Have 8 hern. discs, spinal facet arth., deg. disc dis., and more. Losing weight and core strengthening. Would a lumb/sac belt ever be an good option?

Have 8 hern. discs, spinal facet arth., deg. disc dis., and more.  Losing weight and core strengthening. Would a lumb/sac belt ever be an good option?

It may help with : your symptoms in conjunction with a well executed exercise program combining: flexibility, cardiovascular conditioning and core strengthening. You may want to start this program under the guidance of your physician and a physical therapist and transition to a home program. ...Read more

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N/t hands (worse rt) going up arms into shoulders/neck. Herniated cervical disc 2 yrs ago, w/ minimal nerve impingement. Current symptoms from disc?

N/t hands (worse rt) going up arms into shoulders/neck. Herniated cervical disc 2 yrs ago, w/ minimal nerve impingement. Current symptoms from disc?

Could be: Those symptoms could be the result of nerve impingement in your neck, but there are other things that can cause those symptoms. For it to be on both sides may mean more severe disease. Since you already have had disc disease it is more likely to be related to that. A big question will be if there are other problems like weakness and abnormal reflexes. It should be seen soon by your doctor. ...Read more

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had 2level ACDF in April c4-6 I was in a car accident last month. MRI shows new disc bulge at c4-5. Can a disc become injured after surgery w/ trauma

had 2level ACDF in April c4-6 I was in a car accident last month. MRI shows new disc bulge at c4-5.  Can a disc become injured after surgery w/ trauma

Not usually in a-: -fused segment. The thing is what did Ur post op films show. It may B a residual finding. The usual problem is ASD (adjacent segment disease). Or, the fusion was not solid. ...Read more

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How risky are cervical epidural injections for some one with ddd severe canal stenosis and foraminal stenosis and 2 herniated discs c3/c4 and c7T1?

Just as risky: just as risky, is for someone without these findings. Risk do not increase, based on severity of the disease for which you are doing the epidural. Which in your case, is spinal stenosis. ...Read more

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Can fibromyalgia manifest after cervical spine surgery? Chronic pain 7 mos. After surgery with no known cause or signs on MRI but mild disc bulges.

Can fibromyalgia manifest after cervical spine surgery? Chronic pain 7 mos. After surgery with no known cause or signs on MRI but mild disc bulges.

It can manifest. : At any time. I live in southeastern wisconsin where fibromyalgia is considered to be endemic. I am shocked at the number of cases that i see. I remember practicing in illinois and rarely seeing anyone with this condition and when i practiced in michigan i can count on one hand the number of fibromyalgia patients that i saw. Now i estimate that i see 2-3 such patients per day. Best wishes. ...Read more

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What should I do when medication isn't enough for a herniated disc?

What should I do when medication isn't enough for a herniated disc?

Several things : Time is biggest healer as 90% resolve with no surgery. Lifestyle changes like weight control, not smoking & regular exercise are important- core strengthening, cardiovascular & flexibility. This can be learned through physical therapy. Some people like to use inversion tables for traction or try acupuncture or even chiropractic . Epidural steroid injections an option & if warranted, surgery. ...Read more

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What should I do when medication isn't enough for a herniated disc?

What should I do when medication isn't enough for a herniated disc?

PT/Injections/Surger: Epidural injections, physical therapy could be helpful, when these fail with persisting symptoms more than 6-12 weeks, or progressive neurologic deficit, or bowel/bladder dysfunction then surgery is indicated. ...Read more

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Will an MRI show a lumbar herniated disc even after anti-inflammatory medications are given?

Herniated Disc: Yes, an MRI should still show a herniated disc even after anti-inflammatories have been used. The drugs should help reduce swelling, but a herniated disc is a physical bulge from the disc pushing into the vertebral canal causing pressure on one or more nerve roots. No drugs can change that, even if they make the perceived pain less. ...Read more

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Why didn't my medicine "percocet" or "ativan" show up in my drug screen? I have a herniated disc in my lower back and panic attacks, i take my medicine daily, just as prescribed, but neither showed up in my drug test... Can you help me?

Why didn't my medicine "percocet" or "ativan" show up in my drug screen? I have a herniated disc in my lower back and panic attacks, i take my medicine daily, just as prescribed, but neither showed up in my drug test... Can you help me?

Percocet : Percocet is a narcotic (opiate class) pain medication made up of a combination of oxycodone and Acetaminophen (tylenol). It would show up in a drug test as oxycodone or as an opiate depending on the test. Ativan (lorazepam) is a benzodiazepine called Lorazepam used for anxiety and a few other problems. Since Ativan (lorazepam) is the brand name, it usually show up in drug tests under it's generic name Lorazepam or as a benzodiazpine which is it's class of medication. If nothing showed up in your urine drug test and you are taking these medications daily as prescribed, you may want to call your doctor and have it repeated. ...Read more

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I've coccyx pain since >2yrs; xray showed nothing; MRI showed disc hernia L5/S1 and a nerve in that area being pinched. Could there be a connection between the herniated disc and the coccyx pain (physiotherapy, medication and shots didnt help?

I've coccyx pain since >2yrs; xray showed nothing; MRI showed disc hernia L5/S1 and a nerve in that area being pinched. Could there be a connection between the herniated disc and the coccyx pain (physiotherapy, medication and shots didnt help?

The Ls-S1 compre -: -compression @ L5-S1 would cause pain radiating down the posterior leg, to the lateral aspect of the ankle & foot. If severe, weakness in the gastrocnemius-solious (sp) complex, meaning unable to stand on your toes on that side. ...Read more

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I have a herniated disk, what medications are best used to treat this until surger. I'm curious. What i'm on makes my heart hurt. I dislike narcotics.?

I have a herniated disk, what medications are best used to treat this until surger. I'm curious. What i'm on makes my heart hurt. I dislike narcotics.?

Various: If you've failed pain injections and are waiting for surgery, you may want to speak to your doctor about non-narcotic medications. These can be pain specific, like tramadol, or nerve specific, like gabapentin. Muscle relaxants may also help, or anesthetic patches, like Lidocaine patches. Talk to your doc about nsaids, but they may need to be stopped before surgery. Good luck. ...Read more

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I think i may have degenerate disc disease or a herniated disk how soon should I go in i can barely move and it has been a few years last few weeks ar?

I think i may have degenerate disc disease or a herniated disk how soon should I go in i can barely move and it has been a few years last few weeks ar?

Anytime, but : You must be proactive in terms of lifestyle changes including: weight control, regular exercising & not smoking. Make sure you have adequate sleep and good vitamin d/calcium intake. Most people remain functional without spine surgery for lower back pain. You may require additional treatment that may include physical rherapy, medication as well as possible pain management techniques. ...Read more

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Can a herniated disc be hereditary?

Can a herniated disc be hereditary?

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

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Can a herniated disc heal on its own?

Can a herniated disc heal on its own?

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

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What is the best way to heal a herniated disc?

What is the best way to heal a herniated disc?

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

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What kind of exercise is good for a herniated disc?

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

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How long takes for a herniated disc to regenerate ?

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

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Can I have a herniated disc and not have any symptoms?

Can I have a herniated disc and not have any symptoms?

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

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Is pirifomis syndrome the same entity as a herniated disc?

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

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What activities should I avoid if I have a herniated disc?

Ones that cause pain: This is only in the acute phase. Over time, activity helps the herniated disc to heal. For example, if there are twins, one fat and one thin, the fat twin will have the better looking discs. Instead of thinking of activity as a problem, think of it as a solution! ...Read more

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