Doctor insights on:
What Can Be Done For The Pain Of A Herniated Disk
Time, meds, exercise: Most disc herniations get better with time, 90%. Activity modification with guided exercise, medication and epidural steroid injections are options and if no better after 12 weeks, surgery may be an option. Lifestyle changes like not smoking, not being obese and regularly exercising will minimize any future back problems as well as taking adequate vitamin d and calcium. ...Read moreSee 1 more doctor answer
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
Is there a type of surgery that can be done for bulging herniated disc and tore disc? Also could one of these be causing LOTS of SEVERE pain??
Spine specialist: The two most common surgeries are decompression and discectomy. However, back surgery might be an option if conservative treatments failed and your pain is persistent, debilitating and disabling. Ask a spine specialist about potential complications and best combination of treatment options. ...Read more
Nonop v surgery: Like a lot of disc herniations, they are found frequently in people with no pain & when the cause of symptoms they are treated non surgically with time, medication, activity modification, guided exercise & life style changes. Epidural steroid injections are an option. When pain does not get better & severe enough &/or creating neurologic issues then surgery which can be done several ways. ...Read moreSee 1 more doctor answer
PT and NSAIDs: Physical therapy, anti inflammatory medications, ice, and rest are the mainstays of treating bursitis of the shoulder. If that fails, a cortisone injection maybe considered. Surgery is reserved for refractory cases, after all non-operative measures have failed, and a thorough work up to confirm diagnosis is performed. ...Read more
Spine Pain Options: This chronic 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 moreSee 2 more doctor answers
What can be done for a nerve irritation in the neck from a bulging disk at C4 and c5? Can that cause burning and numbness pain? Please help
Depends: The term "hip" can mean buttock, thigh, or groin pain. An evaluation by your primary care physician or orthopaedic surgeon can help determine the source of your pain and what is an appropriate treatment. ...Read more
What are yours?: How about if we turn the question around and asked, "what symptoms do you have in the neck, shoulders, or arms?" let's see if they fit the suspicion for a "pinched nerve" in the neck. Conservative things for nerves which are compressed in the neck include physical therapy with ranges of motion exercises, at times massotherapy, at times ultrasound and diathermy treatments, and at times traction. ...Read more
Back pain: A herniated disc in thie spine can frequently cost back discomfort. Often times when a disk herniates it puts pressure on ligaments in the spine which results in stiffness as muscles around the spine tighten to reduce the amount of movement which occurs. If the disc herniate in close proximity to a nerve then it is also common to experience pain which radiates down the lower extremities. There are many other causes for back pain however and consequently i would recommend that you discuss this further with your physician. ...Read more
How is a facet injection done in the neck? And when is it donw? Can a cervical MRI show a root nerve impingement in the neck? Please help
X-Ray Flouroscopy: Facet Joint Injection is done under x-ray guidance with special equipment to help guide the needle. Its done for neck pain due to facet joint arthritis or facet syndrome/whiplash. MRI may show nerve root impingement, however the limitation the MRI has is its a static image and unfortunately your spine and discs move so can't see that movement. Consider Weight-bearing MRI for better clarity. ...Read moreSee 2 more doctor answers
Is there a downside to having a disc removed, such as in the instance of a completely herniated disc? Can a herniated disc heal through phys. Therapy?
Number of treatments: You can try multiple things. First, speak to a person with spine experience to make sure the cord or nerves are not threatened (depending on what levels are stenosed). As long as there is no threat of progression, start with physical therapy and core strengthening (under physician supervision). Then, whatever helps you, helps. From acupuncture to epidural steroid injections, many things can help. ...Read moreSee 2 more doctor answers
Anti-inflammatories: Generally, the majority of the pain in a herniated disc comes from the inflammatory process and thus anti-inflammatories such as Naproxen work well. If you also have nerve pain, drugs such as Neurontin (gabapentin) can help as well. Finally, muscle relaxers can help if you have a lot of spasms. ...Read moreSee 1 more doctor answer
Usually none except: Most disc surgeries are successful when done for primarily sciatic pain in a non smoker, 90-95%. There is usually some incisional pain based on the size of incision. There may or may not be some residual pain in the leg usually due to ongoing nerve irritation from its prior compression by the disc or by the manipulation during surgery. Sometimes, there can be residual neurologic symptoms ...Read moreSee 1 more doctor answer
Is it possible that a herniated dics at l2/l3 can be the primary cause of bilateral hamstring pain or can it be attributed to stenosis from l1-l4?
Yes: Both a disc hernaition at l2-3 and lumbar stenosis from L1 to L4 can cause pain in the back of the thighs. A significant disc herniation may cause lumbar stenosis. ...Read more
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