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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Pain In Sub-occipital And Neck, Have C 5-6 Moderate DDD With Central Osteochondral Bar. Any Suggestions ?

I have C 5-6 moderate DDD with central osteochondral bar formation effacing the anterior CSF. Neural foramina are patent. There is mild facet joint arthrosis bilaterally.
The rest of the C 3-4 4-5 6-7 mild DDD no stenosis
C2-3 C7-T1 no abnormality identified
I am experiencing pain sub-occipital and neck, any suggestions for treatment, I am tired of the persistent pain, this is debilitating. I,m taking Tylenol #2 1tab 3 to 4 a day. I cannot take anti-inflammatory medication.
Tue, 16 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

The initial management of cervical disc disease is as follows -

Rest: A collar will prevent unguarded movement; A soft cervical collar is advisable. However, it seldom needs to be worn for more than a week or two.

Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute pain.

Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.

Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful

Epidural steroids: are useful for patients with severe radicular pains in the limbs

If the symptoms do not resolve with the above measures, consult an orthosurgeon and follow his advice.

Hope this information is helpful. Good day
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Experiencing Pain In Sub-occipital And Neck, Have C 5-6 Moderate DDD With Central Osteochondral Bar. Any Suggestions ?

Hi, thanks for writing to HCM. The initial management of cervical disc disease is as follows - Rest: A collar will prevent unguarded movement; A soft cervical collar is advisable. However, it seldom needs to be worn for more than a week or two. Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute pain. Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added. Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful Epidural steroids: are useful for patients with severe radicular pains in the limbs If the symptoms do not resolve with the above measures, consult an orthosurgeon and follow his advice. Hope this information is helpful. Good day