Doctor insights on:
Slipped Disc And Prednisone
I have RA as well as 2 herniated discs lumbar, 1 cervical herniated disk, spinal stenosis, OA. What is the best medication for pain mgmt w/o tiredness?
Ask your DR: Information and advice for your question is best to come from your DR who has all your medical history and the latest exam findings ...Read more
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?
Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more
Bulging neck disk, herniated lb disk, psoriatic arthritis, lordosis, traveling pain, & nerve pain horrible 24/7 in all i do. Finished lifting weights?
Yes to heavy weights: Exercise is an essential part of the treatment of a disk problem. Using light weights and increased repetitions under the supervision of a therapist is ok. You should not be lifting heavy weights. You should also see a rheumatologist if you have psoriatic arthritis. This can be ( there are several forms) a progressive crippling disease which is treatable. ...Read more
I have degenerative disc disease dislocation of 3 lumbar discs and disc herniation at l5/s1 and disc bulges on l3/4 l4/5 my doctor says he can't op why?
Conservative surgeon: There are several possibilities. The surgeon may feel that your problem(s) will not be helped by surgery. Another possibility is the doctor doesn't want to operate at multiple levels. Spine surgeons usually don't want to operate unless they are sure surgery can help you. This is an excellent attitude. ...Read moreSee 1 more doctor answer
Several herniated discs in lumbar spine causing numbness in both legs, buttocks and back. Will pt correct this? Tried pt 3yrs ago. Do again?
Ortho or Neuro: Get an ortho or neuro consult and follow their directives. Best of luck to you. Your case is too complex to handle in this's forum. ...Read more
I have disc degeneration, loss of height, protrusion, spondylosis, disc bulge, mild stenosis on neck and lumbar. Can I use an inversion table?
Conservative care: Yes, I believe that all people should exhaust and utilize all conservative measures for treatment of his or her back pain first, prior to discussing surgical intervention. I tell my patients that is it is helpful then it should definately be incorporated in your treatment plan. I have had many patients say that an inversion table has helped with their neck and low back pain. ...Read more
Am I facing back surgery? Spinal stenosis. Radiculopathy . Osteoarthritis and degenerative spondylolthisethis
Depends: number of conservative treatments to try befote surgery. These include: therapy, injections, meds, etc. Please exhaust all of these before am operation. ...Read more
Recent MRI and XRay shows bulging disks, arthritis and Bone Spurs in spine. I also have frequent numbness and pain from sciatica on right side and leg?
See an surgeon: Sounds like you need to have an evaluation by a surgeon specializing in spinal surgery, usually an orthopedic surgeon or neurosurgeon. However, clearly a physician ordered the imaging, so have you discussed the findings with that doctor? That is obviously the first step. ...Read more
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 moreSee 1 more doctor answer
See below: Unfortunately our backs start degenerating in our late teens. Strengthening the core abdominal muscles, and back muscles . Using proper body mechanics and lifting techniques, weight-loss regimen if necessary, avoid smoking, avoid trauma are a few recommendations. Good luck thank you. ...Read more
Would spinal fusion for spondilolisthesis help numbness and pain in legs and back and herinated discs?
I have back pains with a bulging disc and pinched nerve in my L4 L5 disc and the neurosurgeon recommended amytriptlene?
1possibility: It is very common to have a bulging disc. The nerve symptoms are usually related to inflammation. The first step in treatment is usually anti- inflammatories and physical therapy to decrease the mechanical traits that are putting pressure on the disc and strengthen your core. When these measures do not completely work, a medication to help with netve pain is often added. Amytrip. Is one of those. ...Read moreSee 2 more doctor answers
Sir, i (39years)am diagnosed with lumber spine disc bulge in l5.S1in mri.Pain reduced, whether bulged disc will come back on its position. Pl answer.?
Lifestyle adjustment: Assuming typical back pain treatment includes: back support, exercise regimen, good sleep, weight control, not smoking, heat/ice applications as well as avoiding prolonged sedentary positions with activity modification. One can use over the counter meds if no medical reasons that prevent use. Bulging discs do not cause pain, they are normal findings on mri. ...Read more
Multilevel disc and joint arthrosis ostephytosis and sclerosis in lumbar spine and neck. Hills sachs with joint narrowing shoulder. What dr to see?
Multi joint pain: i would first see a rheumatologist to evaluate you for a potential inflammatory arthritic process. ...Read more
Psoriatic arthritis, herniated low back disk, bulging neck disk. Any ok pain doc that can help? Crying, losing sleep, grades drop, life poor, norco=/=
The disks are protective shock-absorbing pads between the bones of the spine (vertebrae). The disks of the spine are also referred to as intervertebral disks. Although they do not actually "slip, " a disk may move, split, or rupture. This can cause the disk cartilage and nearby tissue to fail (herniate), allowing the inner gel portion of the disk to escape ...Read more
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
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