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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Herniated Discs. Have Moderate Disc Narrowing Throughout Cervical Spine. How To Relieve Pain?

I have 8 herniated/extruded cervical, thoracic andl lumbar discs. I am currently awaiting for an updated cervical MRI...there is suspicion of multi level annular disc bulges as well. I am 44 years of age with moderate disc narrowing throughout the cervical and thoracic spine. Neural foraminal narrowing at all levels of the lumbar spine. Moderate vertebral lipping throughout entire spine and Sheuermann's Disease of the thoracic spine. I am in alot of pain, what can be done...?
Thank You Dominic
Tue, 25 Jun 2013
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Diabetologist,  's  Response
DEAR SIR/MADAM

NARROWING OF THE DISC SPACES, CERVICAL, THORACIC AND LUMBAR DISC WILL CAUSE COMPRESSION OF THE NERVES EMERGING FROM THE DISC WHICH WILL CAUSE PAIN THROUGH OUT THE COURSE OF THE NERVE WHERE EVER IT SUPPLIES.
IT COMMONLY HAPPENS IN
1. CERVICAL DISCS
2. LUMBAR DISCS

THERE ARE LOT OF OPTIONS FOR PAIN RELIEVE FOR THESE PATIENTS
1. PREGABALIN - WHICH IS USUALLY USED FOR RELIEVING PAIN IN DIABETIC NEUROPATHY BUT IT WILL HELP IN THESE CASES TOO. DOSAGE IS 75 MG
2. GABAPENTIN - IT IS AN GABA AGONIST WHICH CAN BE USED INSTEAD OF PREGABALIN
3. MUSCLE RELAXANTS AND PAIN RELIEVERES - NSAIDS SUCH AS DICLOFENAC OR ACECLOFENAC WITH PARACETAMOL WILL CAUSE PAIN RELIEVING FOR SOME TIME BUT USUALLY IT REOCCURS
4. OPOID ANALGESICS - TRAMADOL 50 MG CAN BE GIVEN IF PATIENT HAS COMPRIMISED KIDNEY STATUS.
5. TRICYCLIC ANTIDEPRESSANTS - AMYTRYPTYLLINE CAN BE GIVE AT NIGHT TIMES STARTING AT LOW DOSES
6. PHYSIOTHERAPY - PHYSIOTHERAPY TO THE AFFECTED AREAS WILL HELP IN RELIEVING PAIN.

THANKS
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Have Herniated Discs. Have Moderate Disc Narrowing Throughout Cervical Spine. How To Relieve Pain?

DEAR SIR/MADAM NARROWING OF THE DISC SPACES, CERVICAL, THORACIC AND LUMBAR DISC WILL CAUSE COMPRESSION OF THE NERVES EMERGING FROM THE DISC WHICH WILL CAUSE PAIN THROUGH OUT THE COURSE OF THE NERVE WHERE EVER IT SUPPLIES. IT COMMONLY HAPPENS IN 1. CERVICAL DISCS 2. LUMBAR DISCS THERE ARE LOT OF OPTIONS FOR PAIN RELIEVE FOR THESE PATIENTS 1. PREGABALIN - WHICH IS USUALLY USED FOR RELIEVING PAIN IN DIABETIC NEUROPATHY BUT IT WILL HELP IN THESE CASES TOO. DOSAGE IS 75 MG 2. GABAPENTIN - IT IS AN GABA AGONIST WHICH CAN BE USED INSTEAD OF PREGABALIN 3. MUSCLE RELAXANTS AND PAIN RELIEVERES - NSAIDS SUCH AS DICLOFENAC OR ACECLOFENAC WITH PARACETAMOL WILL CAUSE PAIN RELIEVING FOR SOME TIME BUT USUALLY IT REOCCURS 4. OPOID ANALGESICS - TRAMADOL 50 MG CAN BE GIVEN IF PATIENT HAS COMPRIMISED KIDNEY STATUS. 5. TRICYCLIC ANTIDEPRESSANTS - AMYTRYPTYLLINE CAN BE GIVE AT NIGHT TIMES STARTING AT LOW DOSES 6. PHYSIOTHERAPY - PHYSIOTHERAPY TO THE AFFECTED AREAS WILL HELP IN RELIEVING PAIN. THANKS