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What Causes Chest Pain And Disc Prolapse In Lumbar And Cervical Region?

Posted on Wed, 18 Mar 2015

Question: hi sir im naresh 29/M i hve pain in left side upper chest pain i consult physian and cordiolagy master health check up and cardic checkup all reports are normal doctor told that may this is due to gass .after few days my left hand also pain tapart from chest pain.few days later pain is going by left side back chest and left sholder after few days past mi hve left leg backside below knee pain since 3weeks apart from left hand pain is still now all other pains are gone.yesterday i consult neuro physician and mri shows normal diffuse disc bulge of moderate degree with desiccation changes posterior central and left paracentral disc protrusion at l4 l5 level causing ventral thecal sac left traversing nerve root indentation left neural foraminal narrowing and relative spinal canal narrowing at this level.my questions are is it life treatening or any other serious issu.is my left hand pain is also related this if not then what is the causs.in my condition is it curable by medication or any other surgery reguired am i cure 100% cure with medication am i cured like a normal person.i recently got marriage and im preparing for si in police department please tell me sir.my doctor priscribed flupirtine meleate 100mg 1 for day.progabalin 75,methylecobalamin 750mg.citrirol ip25 1.25 dihydroxy vit d3 elemental calsium 200mg capsules.is this prescription is correct for my condition for cure if not please give me correct priscription for me to cure.can i take physiotherapy trics along with this medication now.who is better person to treate me in my condition neuro physician.neurosurgen.general surgen.orthepedist.

Answered by Dr. Dr. Praveen Tayal (7 hours later)

Brief Answer:
Disc prolapse in lumbar and cervical region.

Detailed Answer:
Hello,
Thanks for posting your query.
Your MRI scan shows a minor disc prolapse at the level of L3-L4 which is an age related degenerative change of the spine. It is not a serious or life threatening issue.
You are suffering from this problem at lumbar and cervical region. Due to this Disc bulge pressure occurs on nerve roots & radiation of pain and numbness occurs in that dermatotome. Physiotherapy like intermittent lumbar/cervical traction , back and cervical exercise reduces pressure of disc bulge for some time & gives relief.

The following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( dont repeat a dose before 6 hours) with food. Taking oral muscle relaxants like Tolagin 4mg will also help. You can get it prescribed from your doctor. Rest of the medicines that have been given are correct and you can continue with these.
• Avoid forward bending.
• Correct your posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.
The complete cure of this problem involves regular exercise that you can learn from a physiotherapist. You can consult a neurophysician for proper guidance and treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (3 hours later)

than Q sir is am take these medicines with my doctor priscription medcines,these medicines for which purpus like pain killers or any other,is there any medication for bulge disc expand liguid in to normal disc liguid.yester day i hve consult a neuro surgen he told me that thad "bulge disc ligued can not be go into normal position with medication,surgery is the option for that to remove that expand liguide.is it true sir ,is there any chance with medication to go that expand liguid into normal position.he is also told that due to thise bulge disc the compression of nurves become severe a day by day which causs sever thumbness in left leg and lower left side of body,surgery is needed as early as possible,now dont do physiotherapy it will harmfull" is it true sir what i do now please tell me.witout surgery is there any medication please tell me sir.

Answered by Dr. Dr. Praveen Tayal (6 hours later)

Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
The medicines are given to decrease pain and to make the nerves strong to decrease the nerve related pain. These will not reverse the bulging disc. The exercise will stop the further progress of the problem.
Surgery is done when pain is severe and there is acute disc prolapse. The problem progresses if no exercise is done.
Physiotherapy and muscle relaxants can reduce the disc bulge to some extent. In case there is no relief with medicines then surgery is the only option.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar