Suggest treatment for mild diffuse bulging disc - Online Doctor Chats
I just received an MRI report of my cervical spine. I have had heacdache and back pain and am fused from C4 -C7. The MRI states that there is a mild diffusely bulging disc at this interspace producing mild anterior thecal sac impingement. XXXXXXX to metallic artifact from the pedicle screw placement, this examination is quite limited. Nothing obvious is seen however. How serious is this? Would it require surgery? I have had 2 posterior and one anterior fusions already.
Hello Dr. XXXXXXX
Mild diffuse bulging does not require a surgical intervention
you can wait and see if it improves with conservative management
Can the disc be corrected by cervical PT exercises?
as you might be knowing, since this is a degenerative process, it is hard to limit the progression
With cervical PT, the progression can be slowed down
We can not reverse what has already happened
What about the use of steroids to control the inflammation?
We can slow down the process of degeneration with Physical therapy
Yes, steroids help greatly in reducing the inflammation of the nerves
that is a part of conservative therapy
The pain is now going down my arm and into my fingers as well as my back. I suffer from acute migraines as well.
it will allow you to continue the PT without much trouble, there by help reduce the rate of progression as well
Yes, that sounds like the pain is due to the disk bulge
hopefully it may be relieved by steroid injections and PT
in due course of time you may require a surgical intervention to remove the bulging disc
but it is not the preferred treatment option right now
I was due to have a triple arthrodesis of my foot, but the surgery was canceled, because the surgeon stated that I could break my neck on the operating table or during non-weight bearing recovery. Is this true?
considering the kind of degeneration you have had
it is best to avoid triple arthrodesis
That surgery involves considerable amounts of force applied while performing the surgery in directions that might make yuor neck bend
hence your doctor's decision not to go ahead
I had a triple arthrodesis in 2010, fell during recuperation, and broke the metal in my foot. The metal was removed, but my foot is now deformed and I have been casted for a brace.
that makes things even worse
It is the surgeon's discretion to go ahead with the surgery or not
Yes, my activity level is extremely limited and my quality of life is poor.
I can understand your condition
I don't believe that a neurosurgeon will operate on a C3 - C4 level and above. Am I correct?
It is too risky to operate above the C3 -C4 level
So I have no other options other than PT and steroids?
I am afraid no, you don't have any option
So I must live with the neck and foot pain without hope for improvement?
We are still an evolving species
Ok. Thank you for your response. Good day.
we were walking on 4 limbs in Africa a few million years ago, that is short time to undergo a major change
Our backs are not well suited enough to carry so much weight
As I said, it is not possible to limit this progression
I hope you will get enough pain relief from conservative management
Thank you for consulting me here
Related questions you may be interested in
Recent questions on