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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I See A Surgeon Or Continue Physical Therapy, Muscle Relaxers And Tylenol For The Foraminal Osteophyte Complex And Mild Mass Effect On The Anterior Spinal Cord?

My MRI shows C5-6 disk space loss, right neural foraminal disk osteophyte complex with moderate right neuroformaninal narrowing. Mild mass-effect on the right anterior spinal cord with right lateral recess narrowing. Central spinal canal measures 1.1 cm. And C6-7 mild broad based disk osteophyte complex. I have daily neck pain and headaches and I am not getting any treatment other than physical therapy for the past 5 months with no relief. Should I see a surgeon or continue physical therapy, muscle relaxers and tylanol?
Sat, 18 Jan 2014
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Orthopaedic Surgeon 's  Response
Hi there.

since you are not getting any relief for 5 straight months, there is no point in continuing with the same treatment.

First of all kindly consult a good orthopedician and get the report and your symptoms evaluated.

Treatment :
1. Start with dexamethasone and methycobalamine injections under supervision.
2. Short wave diathermy.
3. Pregablin and Duloxetine tablets at night time.
4. Cervical isometric exercises
5. A good anti inflammatory and analgesic muscle relaxant.

If all this doesn't help then you might have to go for an epidural steroid injection.

I hope my advice has helped.
Good luck
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Should I See A Surgeon Or Continue Physical Therapy, Muscle Relaxers And Tylenol For The Foraminal Osteophyte Complex And Mild Mass Effect On The Anterior Spinal Cord?

Hi there. since you are not getting any relief for 5 straight months, there is no point in continuing with the same treatment. First of all kindly consult a good orthopedician and get the report and your symptoms evaluated. Treatment : 1. Start with dexamethasone and methycobalamine injections under supervision. 2. Short wave diathermy. 3. Pregablin and Duloxetine tablets at night time. 4. Cervical isometric exercises 5. A good anti inflammatory and analgesic muscle relaxant. If all this doesn t help then you might have to go for an epidural steroid injection. I hope my advice has helped. Good luck