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Acute cervical disc prolapse - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
User :   hi, i have a query on disc prolapse or paracentral desc bulge
Doctor :   hi
Doctor :  
proceed with your query
User :   neuro surgeon has written as acute central & paracentral disc bulge
Doctor :  
User :   orthopedician has written as disc prolapse
User :   currently the pain in increasing week by week
Doctor :  
User :   it is more severe on the back at the place of disc and radiates to the arm & fingers sometimes
Doctor :  
User :   i remember i was told there may be chance of nerve damage if i do not undergo surgery well in time
User :   want to know in which cases the surgery is needed? are both the doctor mean the same.....?
User :   what are the symptoms of nerve damage?
Doctor :  
yes both the doctors mean the same diagnosis
User :   ok
User :   want to know in which cases the surgery becomes mandatory?
Doctor :  
acute disc prolapse is the diagnosis and by the mri scan neurosurgeon has made the diagnosis more specific diagnosis
User :   that is right
Doctor :   surgery is not the first step in the disc prolapse
Doctor :   it is the last resort
User :   i have been under medicines from 50 days with collar usage
Doctor :  
User :   tried with physiotherapy for a week but it did not give me any relief
Doctor :  
initially the management is rest with pain relief medications and than physiotheraphy
Doctor :  
if it is not working than cervical traction will be put
Doctor :   with that your symptoms will improve
User :   what are the symptoms of nerve damage?
Doctor :  
and if it doesn't than local steroid injection called epidural steroid injection is done
Doctor :  
nerve damage symptoms are
Doctor :  
loss of function
Doctor :  
meaning paralysis of the region supplied by the nerve
User :   how do i identify signs of it before it is damaged?
Doctor :  
it is not possible
User :   does it mean during the treatment of medication, physiotherapy also it is possible?
Doctor :   i did not understand your question
User :   As surgery is last resory, we always try to cure with medicines & physiotherapy. This takes few weeks of time. Is the nerve damage possible in this duration also? or anytime?
Doctor :   it is not weeks it takes months before surgery is opted

User :   or putting other way....Is surgery only way to completely prevent nerve damage?
Doctor :   and anytime if the doctor finds that the nerve is getting compressed(damaged) he will immediately advise for surgery
User :   how can it be found?
User :   i mean, how can it found that it is getting compressed?
Doctor :   if your symptoms improves than the compression is not there, if your symptoms worsens and you develop weakness it means you are going for nerve compression
User :   i had severe pain couple of days ago. I am advised to use coderon (3 per day) and Benzaday 15mg (1 per day)
Doctor :  
User :   are they over dose tablets? i mean are they suggested when it it going out of hands?
Doctor :  
User :   i am almost out of office work now due to this pain
Doctor :   ok

User :   i am suffering from this from two months and not going to office from two weeks
User :   if it continues it is not good from job point of view
User :   what is your suggestion.....?
Doctor :   the nature of the disease is such that it takes time
User :   are there any side affects of surgery....i mean any complications post surgery?
Doctor :   it depends on type of surgery
User :   what is the difference in my life if i undergo surgery?what i cannot do after surgery?
Doctor :  
as i said it depends on the type of compression and the surgery performed
Doctor :  
surgery is done to relieve you from the symptoms
Doctor :  
right now what you have is bulge
Doctor :  
and for bulge the non surgical management is the first approach
User :   will my pain go away completely post surgery?any case of suffering pain post surgery also
Doctor :   this is a chronic disease and as i said surgery is only one option and always it is not the best option
Doctor :   surgery is done to relieve the nerve compression and also to relieve the associated back pain and to restore the normal function
Doctor :  
which type of treatment is best at what stage is deiced by the neurosurgeon or the spinal surgeon

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