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Suggest Treatment For Severe Neck Pain
Question: Hi, i was having severe neck pain and diagnosed cervical bone pott disease after mri- destructive pathology involving iv disc and adjacent vertebra upto C3 with large retropharngeal abscess and paraspnial muscles involvement.
taken 4 drug regimen for 3 months now 2 drug isoniazid and rifamin is continued. Done a repeat mri It says destructive pathology involving iv disc and adjacent part of vertebra at C1/C2 with abscess and granulation tissue involving left neural foramina and extension into epidural space. What does it means? Is it resolving or increasing? As latest mri say it involve neural foramina and epidural space? Plz explain in details.....
taken 4 drug regimen for 3 months now 2 drug isoniazid and rifamin is continued. Done a repeat mri It says destructive pathology involving iv disc and adjacent part of vertebra at C1/C2 with abscess and granulation tissue involving left neural foramina and extension into epidural space. What does it means? Is it resolving or increasing? As latest mri say it involve neural foramina and epidural space? Plz explain in details.....
Brief Answer:
No significant improvement as per MRI is seen
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your medical details and mRI spine reports.
I agree that as per the MRI report, there is no significant improvement, and there may been mild progression too. However, we need to take into account clinical features too, before we conclude that you are not getting better. If there is no fever or neck pain; and your weight is improving, we can assume that your TB infection is under control.
However, if there is neck pain/fever, and there is definite worsening on MRI, there are two options: 1. Do a biopsy from the affected area, or 2. Start second line Anti-TB drug.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
No significant improvement as per MRI is seen
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your medical details and mRI spine reports.
I agree that as per the MRI report, there is no significant improvement, and there may been mild progression too. However, we need to take into account clinical features too, before we conclude that you are not getting better. If there is no fever or neck pain; and your weight is improving, we can assume that your TB infection is under control.
However, if there is neck pain/fever, and there is definite worsening on MRI, there are two options: 1. Do a biopsy from the affected area, or 2. Start second line Anti-TB drug.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
At the time of first mri my weight was 63 kg with cough fever and i have difficulty in swallowing due to reteropharngeal abscess and night sweats...now i weigh 72kg nd not having ny of the symptoms. My neck pain has reduced but i can not do left nd right side movement at neck. I m using soft cervical collar also since 3 months. I m also hving lymphadenoathy on right side of neck nd its size has reduced also...can u suggest me what i should do now...what precaution i shud take regarding my neck movement. Pillow to be use during sleeping or not???
Brief Answer:
Clinical symptoms suggest improvement
Detailed Answer:
Thank you for getting back with additional information.
Yes, based on your symptoms, there is good improvement. Weight gain and absence of fever suggest an improvement.
Continue using soft cervical collar. Pillow (small) can be used during sleep.
Continue the anti-TB medications as per the doctor's advice.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Clinical symptoms suggest improvement
Detailed Answer:
Thank you for getting back with additional information.
Yes, based on your symptoms, there is good improvement. Weight gain and absence of fever suggest an improvement.
Continue using soft cervical collar. Pillow (small) can be used during sleep.
Continue the anti-TB medications as per the doctor's advice.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u so much doc.
Sir just want to know one more thing- what is d meaning of following mri report__
Lumber spine shows Degenerative spondyolytic changes With degenerative diffuse disc bulge at L2/L3, L3/L4, L4/L5 causing obliteration of anterior convexity of thecal sac.
What precaution and treatment shud be taken? What does it means? Do it need physiotherapy?? Plz explain sir
Sir just want to know one more thing- what is d meaning of following mri report__
Lumber spine shows Degenerative spondyolytic changes With degenerative diffuse disc bulge at L2/L3, L3/L4, L4/L5 causing obliteration of anterior convexity of thecal sac.
What precaution and treatment shud be taken? What does it means? Do it need physiotherapy?? Plz explain sir
Brief Answer:
Treatment depends on the symptoms.
Detailed Answer:
Thank you for getting back.
This MRI shows problems in the lower back with degeneration of the discs, and nerves may get pinched. Treatment depends on the patient's symptoms and age. Please provide the information.
Options include medications, physiotherapy, epidural injections and surgery depending on the symptoms, severity of disease and age of patient.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Treatment depends on the symptoms.
Detailed Answer:
Thank you for getting back.
This MRI shows problems in the lower back with degeneration of the discs, and nerves may get pinched. Treatment depends on the patient's symptoms and age. Please provide the information.
Options include medications, physiotherapy, epidural injections and surgery depending on the symptoms, severity of disease and age of patient.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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