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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Car Accident. Herniated Disc In Neck, Lower Back, Armpit Tightness. What Might Cause This?

i had a car accident 14 months ago, rear ended by a dump truck going at 65 mph. It seem I had nothing wrong, after an mri , found herniated disc in my neck and lower back. I am still suffering from stiff neck and armpit tightness. I am worried I am attributing everything to the accident, maybe I have something else wrong with me
Sat, 10 Aug 2013
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General & Family Physician 's  Response
Hi,
It seems due to accident there is damage of lumbo-sacral and cervical vertebrae giving rise to this problem.
Consult orthopedic surgeon and get examined.
Go for regular physiotherapy like neck exercise, cervical traction and short way diathermy and back extension exercise after consulting your orthopedic surgeon.
Ok and take care.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

The commonest symptoms of a herniated disc are pain in the affected region of the neck and shooting pain down the arm into the fingers (if nerve root is compressed).

The conservative management of the cervical disc disease is as follows -

* Rest: A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.

* Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.

* Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.

* Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful

Hope this information is helpful. Good day
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Had Car Accident. Herniated Disc In Neck, Lower Back, Armpit Tightness. What Might Cause This?

Hi, It seems due to accident there is damage of lumbo-sacral and cervical vertebrae giving rise to this problem. Consult orthopedic surgeon and get examined. Go for regular physiotherapy like neck exercise, cervical traction and short way diathermy and back extension exercise after consulting your orthopedic surgeon. Ok and take care.