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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For Separated Lower Disc?

I have a disc problem a lower back disc separated in car accident . I am trying not to have surgery I have a lot of problems unbearable pain I had therapy, epidural,pain killers,muscle relaxers etc. nothing has helped could you please help me if you can give me some helpful advice I would appreciate it Thank you
Tue, 2 Sep 2014
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General & Family Physician,  's  Response
Hello,

Thank you for writing to HCM about your query,

Brief Answer -

Anti-inflammatory medication such as aspirin, Physical therapy , Steroid injections etc.

Explained Answer -

Conservative treatment of lower disc pain usually is successful over time. It includes:

1. Pain medication or pain therapies such as ultrasound, massage or transcutaneous electrical nerve stimulation
2. Anti-inflammatory medication such as aspirin, ibuprofen and acetaminophen
3. Physical therapy
4. Steroid injections
5. Education in proper stretching and posture
6. Rest

However, if your pain doesn't respond to conservative treatment in two to four weeks, your condition affects your bowel or bladder function,

or if it threatens permanent nerve damage, your doctor may suggest surgery.

The surgery usually includes removing the part of the disc that has squeezed outside its proper place, called a discectomy.

The surgeon also may want to remove the back part of the vertebrae, called the lamina,

In a laminectomy; or to surgically open the foramen, the holes on the side of the vertebrae through which the nerves exit, in a foramenotomy.

Only about 10 percent of adult lumbar disc patients require surgery and even fewer children and adolescents.

Hope You will find it out helpful.

Thanks And Regards,
Dr. Gaurav Prajapati
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What Treatment Is Suggested For Separated Lower Disc?

Hello, Thank you for writing to HCM about your query, Brief Answer - Anti-inflammatory medication such as aspirin, Physical therapy , Steroid injections etc. Explained Answer - Conservative treatment of lower disc pain usually is successful over time. It includes: 1. Pain medication or pain therapies such as ultrasound, massage or transcutaneous electrical nerve stimulation 2. Anti-inflammatory medication such as aspirin, ibuprofen and acetaminophen 3. Physical therapy 4. Steroid injections 5. Education in proper stretching and posture 6. Rest However, if your pain doesn t respond to conservative treatment in two to four weeks, your condition affects your bowel or bladder function, or if it threatens permanent nerve damage, your doctor may suggest surgery. The surgery usually includes removing the part of the disc that has squeezed outside its proper place, called a discectomy. The surgeon also may want to remove the back part of the vertebrae, called the lamina, In a laminectomy; or to surgically open the foramen, the holes on the side of the vertebrae through which the nerves exit, in a foramenotomy. Only about 10 percent of adult lumbar disc patients require surgery and even fewer children and adolescents. Hope You will find it out helpful. Thanks And Regards, Dr. Gaurav Prajapati