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Doctor insights on: What Is The Recommended Pain Killer For A Herniated Disk In The Spine

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What is the recommended pain killer for a herniated disk in the spine?

What is the recommended pain killer for a herniated disk in the spine?

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 more

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Dr. Thomas Dowling
835 doctors shared insights

Bulging Disk (Definition)

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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What do doctors think is the top pain killer for a herniated disk in the spine?

What do doctors think is the top pain killer for a herniated disk in the spine?

Meds for spinal pain: First line for pain should be nsaid's i'd you tolerate them. Aleve is more convenient as it is twice daily, but Ibuprofen is fine if taken 4x daily. Tylenol (acetaminophen) is also good for pain, but not an anti-inflammatory. Next for sciatic/nerve pain would be lyrica/neurontin--both nonaddictive. Elavil, Cymbalta also good options especially if trouble sleeping. Narcotics only short time for severe/acute pain. ...Read more

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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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31 yr old female, L5 herniated disk. What can I do as far as back surgery? The laser spine institute? Hurts so bad

31 yr old female,  L5 herniated disk. What can I do as far as back surgery? The laser spine institute? Hurts so bad

Varies: I would not hesitate to be seen. The vast majority of patients with disc herniation a do respond to nonoperative care, but a small percentage do require surgery, which in general is highly successful for the appropriate candidate. ...Read more

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I have a herniated disk buldging disk in my lower spine l4l5 area, and also have abscess I'm mouth need help!!!

I have a herniated disk buldging disk in my lower spine l4l5 area, and also have abscess I'm mouth need help!!!

Urgent care: The abscess in your mouth needs urgent attention. I would recommend seeing a doctor today in an urgent care center or ER. The back problem can be sorted out by your primary care provider. Ask about the need for imaging, or referral to a spine specialist. Hope this helps! ...Read more

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What should I do about my back/leg pain? I have a herniated disk in my l5s1 vertabrea, and have had 3 bilateral transformal steroid injections in my spine during the past 3 weeks, today my legs and back have a shooting pain going up and down and i can har

What should I do about my back/leg pain? I have a herniated disk in my l5s1 vertabrea, and have had 3 bilateral transformal steroid injections in my spine during the past 3 weeks, today my legs and back have a shooting pain going up and down and i can har

L5-S1 : L5-s1 disks can cause severe sciatic leg pain. I would recommend consultation with a spine surgeon if you have failed 3 steroid injections. Leg pain secondary to herniated disk usually responds well to surgery. There are many surgical options including traditional and minimally invasive surgery. I would recommend looking for a surgeon who is experienced in endosocpic minimally invasive surgery. Endoscopic treatment is not always an option, but it is worth exploring due to less tissue damage, quicker discharge and recovery and less post operative pain. Please see my health guide on disk herniations and sciatica for more information. Good luck! ...Read more

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Can nerve damage from siatica heal on its own from herniated disk ? Right foot can stand on heel it drops what kind of doc should I see spine doc?

Can nerve damage from siatica heal on its own from herniated disk ? Right foot can stand on heel it drops what kind of doc should I see spine doc?

Be evaluated: You would need to be followed closely. But yes, weakness from a herniated disc can potentially improve as the herniation heals. But you need to be followed closely because if it worsens you might need urgent surgery to avoid a complete and permanent "foot drop." See a spinal surgeon to discuss, even if you don't think you need surgery, you need to be followed by a surgeon just in case. ...Read more

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Does lyrica heal damaged nerve from herniated disc or is it like a pain killer ? Thank you

Does lyrica heal damaged nerve from herniated disc or is it like a pain killer ? Thank you

No and No: Without going in to a large biochemistry or pharmacology lecture, lyrica and other antiepileptics turn down the function of nerves. The idea is to turn down the nerves in pain. Lyrica is not a pain medication as in a narcotic but for some reason, people have tried to abuse it so it is scheduled. ...Read more

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Can you have still have an epidural with herniated disks in your spine?

Can you have still have an epidural with herniated disks in your spine?

Yes: The short answer is yes. I don't know what context you are asking about this for. There are labor epidurals and those for surgery to render a patient numb and then there are therapeutic epidurals with steroid for herniated discs etc. ...Read more

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What could I do to soothe three herniated disks in my spine, other than surgery or medication?

What could I do to soothe three herniated disks in my spine, other than surgery or medication?

Options: Typically, only one of the discs is the main source of pain even if the MRI shows multiple. The majority get better on their own, but antiinflammatory medications taken for 1-2 weeks at a time can help. I also often recommend traction with a pt or chiropractor or by gravity when using an inversion table. An epidural injection can also help the nerve irritation caused by the herniations. ...Read more

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What are the best exercises to lose 30 lbs in 8 weeks with 2 herniated disks and 5 bulging disks through out your spine.

What are the best exercises to lose 30 lbs in 8 weeks with 2 herniated disks and 5 bulging disks through out your spine.

You have a complex: case and need to be under medical management during your weight loss to document your symptoms as you lose weight since you've had significant trauma to your spine, and possibly be in pain. Usually it's safer to lose 5 pounds/month up to 10 pounds, but 4 pounds a week may be difficult as your overexercising could put strain on your body.So discuss this with your doctor first to see the safest way. ...Read more

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What is the cure for 5 herniated disks, three in neck and two in spine?

What is the cure for 5 herniated disks,  three in neck and two in spine?

Depends on symptoms: Those findings can be asymptomatic if each can be correlated to radicular (arm or leg) pain treat them individually injection first then surgery, dont assume they cause back or neck ache. ...Read more

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What can bring about early degenerative changes in my cervical spine? Serious neck pain and straight cervical curvature with herniated disks

What can bring about early degenerative changes in my cervical spine? Serious neck pain and straight cervical curvature with herniated disks

Many things: As an example, family history of early degenerative arthritis, type of activity that you engage in and trauma. Please see you family physician. ...Read more

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What are the risks of spinal surgery? What are the risks of spine surgery for herniated disks, located just below the level of the shoulder blades?

Varies: In general, spinal surgery is safe with relatively low complication rate. Complications can be spine and surgery related or related to anesthesia and perioperative medical complications. Each specific spinal surgery, such as in a thoracic disc herniation which you are describing, has it's own unique risks and benefits and so you should certainly have a good talk with your surgeon. Thank you. ...Read more

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I have 2 herniated disks and 5 buldges one of the hern's l2/3 is deforming the thecal sac, the report says lumbar spine straightening. What can I do?

I have 2 herniated disks and 5 buldges one of the hern's l2/3 is deforming the thecal sac, the report says lumbar spine straightening. What can I do?

Sciatica: Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. ...Read more

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I'm scheduled for cervical spine surgery, pressure on my spine and herniated disks, the issue goes back 2 years, can I wait another year?

I'm scheduled for cervical spine surgery, pressure on my spine and herniated disks, the issue goes back 2 years, can I wait another year?

It depends: it depends on your symptoms. If you have not tried a course of physical therapy, I would recommend this before having surgery. If you are having symptoms of neurological compromise, such as numbness or weakness in your arms / hands, then you should probably proceed with the surgery. If you are having a lot of pain, you should probably proceed with the surgery. You should talk to your doctor. ...Read more

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Should I get the acdf surgery done if I have 2 herniated disks cervical spine from c4 to c6 and c5-c6 is cimpressing on my spinal cord?

Should I get the acdf surgery done if I have 2 herniated disks cervical spine from c4 to c6 and c5-c6 is cimpressing on my spinal cord?

Comments: Neck surgery is a significant event, especially at age 25, and would strongly urge a second opinion, especially with a Neurosurgeon. If you do indeed have a spinal cord compression, this is a risky problem and needs more rapid intervention. The surgical technique may vary, but decompression is mandatory prior to cord damage. ...Read more

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Brother has degenerate disk disease n herniated disks takes alot (6 to 10 day) of norco (hydrocodone and acetaminophen) 10's for over 2yrs n nerves burned in spine. Worried it's bad.

Brother has degenerate disk disease n herniated disks takes alot (6 to 10 day) of norco (hydrocodone and acetaminophen) 10's for over 2yrs n nerves burned in spine. Worried it's bad.

Yes thats a lot: Taking any short acting med up to 10 per day is inappropriate. I would suggest you speak with your brother about this and maybe he needs to be evaluated by another spine specialist to evaluate his needs. If not better he may need to be evaluated for the need for an opiate medication holiday & wean and restarted on the right medications, like a long acting med alongside a short acting med as well ...Read more

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Dr. Adam Lewis
752 doctors shared insights

Lumbar (Low Back) Herniated Disk (Definition)

A herniated disk is a medical condition in which the gel like disk between the bones of the spine squeezes out of its center position. ...Read more


Analgesic (Definition)

An analgesic is any member of the group of drugs used to ...Read more