Doctor insights on:
Treatment Of Lumbar Disc Prolapse
Disc herniation: A prolapsed disc is another way to refer to a disc herniation. Most commonly seen on people aged 30-50 with a predominance in men. About one in 20 cases of acute low back pain are caused by a herniated lumbar disc. Other common symptoms include radiating pain, pins and needles, or numbness into the lower extremity, antalgia (painful gait), and rarely bowel or bladder dysfunction. ...Read more
Depend on symptoms: If you are having fairly severe leg pain, gentle, low impact aerobic activity (e.g. Walking, pool exercise) is a good place to start. As the leg pain subsides, increase the aerobic exercise to at least 30 minutes nonstop three days a week. As tolerated, work on core muscle strengthening exercise (exercise to strengthen tummy and back muscles). ...Read more
How important is it for a patient with lumbar disc prolapse to have sufficient levels of VitD and calcium? Is there a link between the two?
I was diagnosed today with lumbar disc prolapse with myelopathy. ICD-9: 722.73. I am a 50 year old female. Is this a big deal? I work retail.
Not necessarily: Back problems are very common, occurring in over 80 percent of the US population at some point in their lives. By the age of 50, over 50 percent of people will have some degree of " prolapsed" or degenerative disc disease as seen on an MRI. So the finding can cause pain and limitation in some and there are many treatment options; but the finding itself is not unusual or dangerous. ...Read more
Not likely to help: Ayurvedic treatment is not likely to have any effect on disc prolapse and cord compression, as the symptoms are due to a part of the disc physically pressing on one's spinal cord or spinal nerves. Some sort of neurosurgical procedure is usually needed to move or remove the part that is compressing the spinal cord. ...Read more
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
Conservative: Most doctors take a concervative approach to mild disc prolapse. This means exercise, rest and non-narcotic pain medications. ...Read more
Does a disc prolapse with annular tear of one of the lumbar discs predispose me to herniation of adjacent discs in the future?
No: No, it would not make it any more or less likely to have any problems at an adjacent disc. ...Read more
I am 47 with spondylosis of cervical and lumbar spine and anterior disc prolapse. Is it ok to start exercising?
Yes: Start slow and listen to your body. Low impact exercises would be best in the beginning. ...Read more
I would like to ask about m xray result:
Loss of lumbar lordosis
L5 seen sacralized
Spna bifida L5
L5-S1 is narrowed
Disc prolapse L5-S1?
Combination of issue: Some of the back issues are congenital, some due to injury or wear and tear. None seems surgical, and your symptoms can respond to conservative therapy. ...Read more
Not Really: Although Ceragem looks like a fancy massage bed it is unlikely to help with changing anything with the disc (almost nothing can do that without some change on your part, remember passive therapies do not fix anything). It may make you feel good while on it, once done likely your pain will return. Core strengthening will strengthen your spine and epidural steroid injection will help with pain. ...Read more
I have a prolapsed disc in my lower back. Can physical therapy reverse this or is the best i can hope for to get the pain to a manageable level?
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a fellowship trained pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more
Physical therapy: Disc disease with disc protrusion, collaspe, prolaspe is a radiographic finding. Often times these findings do not correlate with the symptoms. Surgery may not necessarily be the answer to the problem. The symptoms of back pain are common. The best treatment is with excercises. Physical therapy can be tremendously helpful. ...Read more
Mascular bulge at lower right side abodomen with no pain. Contrast CT scan and ultra sound normal.Back pain due to l5-si disc prolapse.Reason?
Several reasons: Discuss other treatment options with your doctor including referral. ...Read more
Yes: In most patients, cold therapy can help relieve some of the inflammation in the large muscles that surround the spine. Although the cold temperature associated with cold therapy does not reach all the way to the disc, it can help relieve some of the pain and muscle spasm that occurs along the muscles just underneath the skin layer. ...Read more
See below: The treatments really depend on what the symptoms are . Not a prolapsed discs are painful or need treatment. However if you do need treatment, the mainstay is physical therapy. Other treatments may include anti-inflammatory meds, muscle relaxants and occasionally need for stronger pain medication. Various types of injections in the back can also be helpful but usually are not stand alone treatment. ...Read more
For cervical disc prolapse patient on the neck, what treatment they can do on their own without going for operation and therapy. Pain on the left elbow?
Several can help: You can see your primary doctor, a neurologist, a physiatrist, a pain management specialist, an orthopedist or a neurosurgeon for treatment with 90% usually treated non surgically. This could include: medication, traction, a soft collar, physical therapy/exercises, time and possible epidural steroid injections as well as activity modifications and ceasing smoking if you have that habit. ...Read more
Yes: There are exercises for patients with disc issues. Most deal with core abdominal strengthening and may also help with flexibility. There are different programs, such as mckenzie, that aim to help the back and leg pain. Before starting a program, check with your spine specialist for what is best and safe for your particular issue. ...Read more
Many possibilities: There are many exercises for disc disease. Some include stretching-lying on your back and pulling one knee to the chest and repeat with the other; strengthening-see my back exercise health guide for tips; reverse arch push ups-doing push ups but not with a rigid back instead arching your back backwards. Consult with your doctor or physical therapist for the best exercises for your condition. ...Read more
I was prescribed prednisone 60mg for 5 days without tapering as I have disc prolapse
My question is it ok to abruptly stop prednisone after 5 days ?
Yes since short dura: yes since it's a short duration. This depends whether you have other health problems, or taking prednisone before for long periods. I am not a fan of using prednisone for this type of neck pain. It would be best to see your physician, get a full of evaluation, and a clear diagnosis ...Read more
My father has cont. Pain from knees to ankle and it inc. When he stands a lot is it the nerves or is it disc prolapse, help please?
A test called : An emg/ncv may help differentiate between the two regions of pain. ...Read more
I suffered a disc prolapse at L5/S1 level a year ago that has been treated through conservative approach through yoga. Can I have sex hereafter ?
What will happen if I stop performing the exercises prescribed for L5/S1 disc prolapse? I feel lazy as it takes me an hour to complete the exercises.
Lumbar disc: Core spinal strengthening exercises should be simple and not time demanding. Get up with a physiotherapist to show some simple stretching and isomteric strenthening of your core to add to your daily regimen ...Read more
Can you tell me what ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?
Pain.: Protrusion of a disc which is in between 2 vertebrae can irritate the spinal cord or nerves. This can produce severe back pain. ...Read more
I would like to know is; what does ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?
It means that the : Disc at the spine level chest region known as thoracic between the vertebral bones thoracic 4 and 5 has herniated into the spinal canal and is touching or effacing the spinal cord but not compressing it so even though it is significant or large there is still room enough within the spinal canal to accommodate both the spinal cord and disc herniation. ...Read more
Is there documented relationship between degenerative spinal diseases like disc prolapse and atrial fibrillation how to treat this?
There is no relation: ship to the 2 diseases.Get a more detailed answer ›