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  • rayagada
    Member
    Post count: 2

    Sir,

    I am 48 years old house wife. Following are the observations in the MRI report.

    I have Hypointense signals in all lumbar, dorsal and cervical intervertebral discs on T2WI. (S/O degeneration).

    Posterior disc bulge noted at L4-5 and L5-6 causing indentation over thecal sac and bilateral neural foramina more at L5-S1;

    Posterior disc bulge noted at C3-4 to C5-6 causing indentation over thecal sac and cord.

    I am having severe pain on my back. Please suggest me the precautions to be taken for relief.

    Regards.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    Before any precautions can be given, I need to know your symptoms. When did the symptoms first come on? Do you have central lower back pain only or do you have buttocks and thigh pain too? Is your pain worse with standing and walking or with sitting? Do you have any weakness? Did you have standing X-rays and flexion/extension X-rays? Please describe in depth the history of your symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    rayagada
    Member
    Post count: 2

    Sir,

    The pain is predominantly at lower back and also just below the neck. Some times I experience burning sensation on my middle back. I do not feel any pain on my thigh or on buttocks.

    (I have undergone hysterectomy in 1995 when I was 31 and both ovaries were removed; I was on treatment for HRT for 8 years and later I was advised to stop hormone tablets) Presently the calcium level in my body is low and I am using calcium supplements now.

    I am experiencing severe back pain since 15 days only. Prior to that there was little pain which was bearable.

    Just earlier to that (last six months) I have been with my mother serving her who was in hospital for treatment of cancer, who later passed away in December 2011. May be because of strain, sleeplessness and untimely consumption of food, I have developed this back pain problem – This is only my assumption.

    Sir, I can not afford (financially) spine surgery. I have responsibilities to perform. I request you to suggest me how to over come this pain; reduce the pain by following certain tips and precautions. This will help me to set right the things This is my humble request.

    Regards,

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    I am sorry to hear about the loss of your mother.

    In regards to your back pain- slow down on your anxiety. 80% of the population will have disabling back pain at one time or another. Back pain for only 15 days that does not radiate down your leg is most likely not a surgical condition. If this is your first episode, over the next two weeks, this pain will abate.

    Now- there are ways to reduce and manage the pain. If you have no history of ulcers and are not allergic to NSAIDs, taking a medication like Ibuprofen can be helpful. Discuss with your family doctor if you might be a candidate for a short course of an oral steroid. Try a lumbar corset (brace). Massage, chiropractic treatment and even acupuncture might be helpful.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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