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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Lumbar Pain, Stabbing In The Facet Area After Lying On The Back. MRI Showed Degenerative Changes, Disc Bulging. Treatment Advise?

70 yr old white male, 5 -9 , 175 lbs: No other basic health problems (good blood pressure) except that I ve been dealing with cronic Lumbar back pain for approx 10yrs now. After doing some lifting & then bent over - Pain 1st hit like an electric shock on right side of lumbar - maybe an inch or so out from spine - caused all muscles in buttox area to spasm & lock up - Used bed rest to slowly overcome & slowly after many weeks reach the get by stage - But, never completely pain free. Had MRI and saw Neuro Dr in 10 as pain increased to more stabbing type & couldn t sleep - Have always been a back sleeper - but, laying on back after a couple hrs caused stabbing pain in rt facet area?? MRI Findings: The conus medullaris terminates at L1 on sagittal T2 weighted images. There is some degreee of desiccation of the discs at L4-5 and L5-S1. Minimal central disc bulging is noted at L5-S1. Impression: Degenerative changes of the distal three lumbar intervertebral discs. Minimal disc bulging centrally at L5-S1. Neuro Dr. advised not a good canidate for surgery - Have had very little sciattica pain down legs.....it s always been confined to lumbar and radiating into hips - pain will swap sides from day to day - Have had epidual twice 2/3 yrs apart with very little if any effects - have been trying McKensie Extension excersies for last 6/8 weeks with very little effect - pain even increases in the prone extension excerise position ? -
Wed, 7 May 2014
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Orthopaedic Surgeon 's  Response
take maximum Rest by lieing down. No prolong walking, No forward Bending, No heavy work, No long Drive. take Calcium suppliments and Vit D . take tab Myospaz Forte in the begiining Twice a day for 3 days. tab gabaneuron 100mg Once a day Preferably at Night. Get physiotherapy sessions.All these will help you by doing conservative things.
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Chronic Lumbar Pain, Stabbing In The Facet Area After Lying On The Back. MRI Showed Degenerative Changes, Disc Bulging. Treatment Advise?

take maximum Rest by lieing down. No prolong walking, No forward Bending, No heavy work, No long Drive. take Calcium suppliments and Vit D . take tab Myospaz Forte in the begiining Twice a day for 3 days. tab gabaneuron 100mg Once a day Preferably at Night. Get physiotherapy sessions.All these will help you by doing conservative things.