Doctor insights on:
What To Do For A Herniated Disc
Injections: Epidural Steroid injections helps most people with documented herniations that are the source of there sciatica type pain. That said the question is how long will you get relief for and there is no real good answer for that. Some people can get relief for months and others it can be days/weeks. We notice most people get relief for a longer time if at least 2 injections are planned. ...Read moreSee 3 more doctor answers
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
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a 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 moreSee 1 more doctor answer
Slipped Disc: Six to 12 weeks of nonsurgical treatment including but not limited to physical therapy, epidural injections and medication is usually prescribed. If nonsurgical treatment does not provide pain relief after 6 to 12 weeks, it is reasonable to consider surgery. Surgery may be recommended prior to completing nonsurgical care if pain is severe and maintaining function difficult. ...Read moreSee 1 more doctor answer
Various Ways: Good thing is that you may successfully manage symptoms from herniated discs with conservative options including anti-inflammatories (if not medically contra-indicated for you), physical therapy, spinal injections. Only few will need surgery for persisting symptoms or for progressive neurologic deficit or changes in bowel or bladder function. ...Read moreSee 1 more doctor answer
" bulging disk": Initial treatment for symptomatic bulging disc is conservative (eg physical therapy, non-opioid analgesics, etc.) and also addresses preventative measures. Depending on severity of the symptoms, injections for pain control may be utilized. For more severe cases, surgery may be indicated. The course of treatment is determined by symptoms and objective findings. ...Read moreSee 1 more doctor answer
Proper evaluation: This needs an appropriate evaluation. How much damage is it causing. A few need immediate emergency surgery while most need appropriate physical therapy. In some cases injection of corticosteroids in the back in a location called the epidural space between the spinal cord and the vertebrae, this is done to decrease swelling around the disk to decrease pain and let the herniation resolve. ...Read moreSee 1 more doctor answer
Careful exercise: Start by avoiding prolonged positioning ; repetitive twist/bend maneuvers. If had physical therapy, resume exercises. Use of otc medication will help control symptoms. Cardio workouts may help except for rowing ; maybe running. If did not have pt, may want to get a session to learn exercises. Weight control ; not smoking are key. Time is biggest healer-90% better without surgery. ...Read more
Lifestyle changes: Sometimes it is just genetic meaning it runs in your family. It occurs in everyone to some degree with age. However, smoking accelerates this process 4x faster than normal. Exercise can help to control symptoms if they are present but since this dengeneration is a common finding, it may not be the reason for your back pain or the only one. ...Read more
I have no insurance or money to see a doctor, what can I do to treat a possible spinal disc disease/disk stenosis?
Core strengthening: Most treatment plans for back injuries begin with strengthening core (abdominal and lower back) muscle groups and increasing flexibility, particularly in the hamstrings and lower back. Yoga, pilates, and similar programs are very good at accomplishing these goals. Exercise programs based on cycling and swimming are low impact activities, very helpful in rehabilitation and prevention of back pain. ...Read moreSee 1 more doctor answer
Why is a neurosurgeon referring me to a neurologist after an emg for herniated lumbar disc and DDD?
Perhaps the EMG does: not match the area of the disk, or it could have been normal & a 2nd opinion is needed. ...Read more
I have a slipped disk and spinal stenosis. They want me to have surgery. What does this consist of?
Ask Surgeon.: Always best to run these questions by your operating surgeon. He/she will know exactly what is planned; keep in mind, that different surgeons may do things differently. Also best to be well-informed about the potential risk/complications associated with the planned procedure. Educate yourself about success rates and make sure you have enough help during your recovery period. Best wishes. ...Read more
It usually heals: Most lumbar disc herniations tend to heal on their own. Anti-inflammatory medication and traction type of therapy often helps to relieve the pain. The herniated disc often takes up to 3 months to heal. Seek medical attention if there is progressive pain, inability to walk, numbness, weakness, or any changes with bowel/bladder function. ...Read moreSee 1 more doctor answer
Reduce pain: The therapist can show you ways to strengthen your core (back and tummy) muscles, improve flexibility, work on leg strength, improve body mechanics (how you move and lift), and overall fitness. This may be enough to get you over the disk herniation. ...Read moreSee 1 more doctor answer
Neurosurg or ortho: Both neurosurgeons and orthopedic surgeons with a spine fellowship are capable to perform the diagnostic workup that includes a history, physical and MRI interpretation. Both of these specialties also understand the various conservative treatments such as chiropractic, pt, pain management, and acupuncture. Your surgeon should be able to transcend the bias to operate and provide optimal care. ...Read moreSee 4 more doctor answers
See answer: Establish a relationship with a dr. And get the area evaluated and properly diagnosed. Heat, rest, possible NSAID medication may be presribed. Physical therapy to the area may be helpful. Follow-up with the dr. Who orders and treats you if not better as the next step may be epidural injections, and or surgery depending on the severity, etc. Good luck. ...Read more
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