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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Back Ache

50 year old female, 5'7, 160 pounds, prior history of breast cancer. Also have spondylithelosis, broad based disc bulge at L4-L5, uncovering of the disc of l4 on l5, facet degenerative changes at l4-l5 and l5-s1, multilevel disc degeneration in lower lumbar levels and partial sacralization of l5. I saw a neurosurgeon who looked at my MRI and said "when youre ready for surgery we will do a spinal fusion". That scared me a lot and I never went back (this was in October 2010). Now my back is worse than ever, hurts every day, spend the majority of my day sitting down and bending forward to try to relieve the pain. I am also having trouble going number 2. Cannot urge it along. My neck is making rice krispie noises every time I move it. Also, my spine is very recessed - you can hide a finger in it, it looks like it is caving in. Help!
Fri, 26 Sep 2014
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Orthopaedic Surgeon,  's  Response
Hello,Thanks for your query.After going through your query I came to know that you probably are suffering from chronic lumbar disc prolapse. It is confirmed by MRI scan.There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics . This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy and fusion etc). You also has cervical spondylosis. For which addition of glucosamine and diacerine in treatment will be beneficial. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care.
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Suggest Treatment For Severe Back Ache

Hello,Thanks for your query.After going through your query I came to know that you probably are suffering from chronic lumbar disc prolapse. It is confirmed by MRI scan.There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics . This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy and fusion etc). You also has cervical spondylosis. For which addition of glucosamine and diacerine in treatment will be beneficial. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care.