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Suggest Treatment For Degenerative Spine Disease With Disc Prolapse.

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Posted on Tue, 28 Oct 2014
Question: So my question is I have a pulsing or throbbing sensation in my spine not all the time but is has been happening more lately it pusles to the point it feel like I can't breath. this is my mri I had a Thoraicic and Lumbar MRI and it was compared to 2012. Thoracic- there is a central disc bulge at T1-T2, stable when compared to previous study. there is advanced degenerative disc space narrowing and desiccation involving every level from t5 through t10 there is a focal disc herniation on the right at t9-t10 this abuts the thoracic cord the disc herniation is progressive when compared to 2012, there is a disc bulge at t8-t9( I only remember 3 disc the herniation and the bulgeing why is it getting worse in 2yrs) Lumbar-for the purpose of this dictation the transitional vertebra is named as a partially lumbarized s1. there is a small s1-s2 disc space. the final dominant disc space is named as l5-s1. this is different than the nomenclature on the study of 2012. if surgery is contemplated close correlation of the present study with plain film radiographs is recommended time surgery L5-S1: there is degenerative disc desiccation. Annular disc bulging is more present localized to the right paracentral region. Mild facet arthropathy is present there is right lateral recess narrowing moderate bilateral neural forraminal narrowing present. L4-L5: there is degenerative desiccation Annular disc bulging is present L3-L4 mild facet arthropathy.
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Answered by Dr. Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Degenerative spine disease with disc prolapse.

Detailed Answer:
Hi, XXXXXXX

Thanks for your query.

I'm Dr. Sudhir Kumar,

After going through your query I concluded that you are having degenerative spine disease with multiple level disc herniation causing a pulsing or throbbing sensation in your spine specially during breathing.Pain is commonly felt on deep breathing and coughing in disc prolapse patients. Your symptoms are related to disc prolapse. As disc prolapse are at multiple level , so operative treatment is not advisable at this stage.I treat my such patient coming to my clinic by Diacerine, glucosamine sulfate and mecobalamin with good result. For pain relief analgesics such as diclofenac/ ibuprofen/ tramadol can be used. I many times also use local triamcilone for pain relief .You can discuss with your treating Doctor about it. Back exercises (physiotherapy) are started after pain relief to prevent recurrence of pain.

Hope I have answered your query.
If you have any further questions I will be happy to help.

Wishing you good health.
Take care.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3356 Questions

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Suggest Treatment For Degenerative Spine Disease With Disc Prolapse.

Brief Answer: Degenerative spine disease with disc prolapse. Detailed Answer: Hi, XXXXXXX Thanks for your query. I'm Dr. Sudhir Kumar, After going through your query I concluded that you are having degenerative spine disease with multiple level disc herniation causing a pulsing or throbbing sensation in your spine specially during breathing.Pain is commonly felt on deep breathing and coughing in disc prolapse patients. Your symptoms are related to disc prolapse. As disc prolapse are at multiple level , so operative treatment is not advisable at this stage.I treat my such patient coming to my clinic by Diacerine, glucosamine sulfate and mecobalamin with good result. For pain relief analgesics such as diclofenac/ ibuprofen/ tramadol can be used. I many times also use local triamcilone for pain relief .You can discuss with your treating Doctor about it. Back exercises (physiotherapy) are started after pain relief to prevent recurrence of pain. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health. Take care.