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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Acute Pain In Neck And Shoulder Pain. What Is Paracentral Diffuse Bulging Of Intervertebral Disc?

sir, I had acute pain in left neck and left shoulder pain, upper left arm and have done MRI scan of C spine . The impressions of report is.. 1. Moderate degree of discs dessication noted at cervical spines with loss of cervical lordosis . 2. Paracentral diffuse bulging of intervertebral disc noted at C5-C6 level causing compression of traversing nerve roots at left lateral recess . 3. Diffuse posterior bulging of intervertebral disc noted at C6-C7 level causing mild compression of dural sac. However traversing and exiting nerve roots appear normal. 4.A smll posterocentral focal herination of intervertebral disc noted at C4-C5 level causing mild compression of dural sac in center. However traversing and exiting nerve roots appear normal. Please advice the treatment ...i am confused....almost a month over... regards. Guru
Tue, 25 Sep 2012
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Sports Medicine Specialist 's  Response
hi
disc is narrowing space betwwen vertebrae.
there is fluid between vertebrae called nucleus pulposis covered by annulusd fibrosis in case of disc bulge the space betwwen vertebrae become narrow and this fluid compress on annulus but not release out of it.in case of herniation this fluid release out of annulus lead to inflammation of nerves

physiotherapy is best treatment for your case
program of treattment of shoulder:
physical therapy 1_electro therapy shoulder(ultrasound_interferrential current_TENS)
2_ hot pack
3_strengthening exercise for shoulder
4_mobilization exercises for shoulder

program of treattment of cervical:
physical therapy 1_electro therapy cervical(ultrasound_interferrential current_TENS)
2_ hot pack
3_static exercis for strength muscles and stretch ex
4_CERVICAL TRACTION

under supervision of physical therapist with medication under supervision spinal cord injury specialist
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Had Acute Pain In Neck And Shoulder Pain. What Is Paracentral Diffuse Bulging Of Intervertebral Disc?

hi disc is narrowing space betwwen vertebrae. there is fluid between vertebrae called nucleus pulposis covered by annulusd fibrosis in case of disc bulge the space betwwen vertebrae become narrow and this fluid compress on annulus but not release out of it.in case of herniation this fluid release out of annulus lead to inflammation of nerves physiotherapy is best treatment for your case program of treattment of shoulder: physical therapy 1_electro therapy shoulder(ultrasound_interferrential current_TENS) 2_ hot pack 3_strengthening exercise for shoulder 4_mobilization exercises for shoulder program of treattment of cervical: physical therapy 1_electro therapy cervical(ultrasound_interferrential current_TENS) 2_ hot pack 3_static exercis for strength muscles and stretch ex 4_CERVICAL TRACTION under supervision of physical therapist with medication under supervision spinal cord injury specialist