Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Severe Cold Sweats And Pain. Could It Be Due To Central Annular Tear?
can central annular tear w/ protrusion (both sides w/ left more severe cause cold sweats) last epidural was at L5 S1 both sides on 4/15/13. after inj. at L4 L5/S1 left side only on 4/9/13 made symptoms worse. I am doing neutral cire strengthening PT, but have began to feel worse and right side pain is worse. pain in gluts, arches of both feet. uses to just be on left foot, inner left ankle bone (behind) left calf pain and low back burn with severe tention and glut failure since injury occurred in Oct. 2012. would you suggest a specific treatment. i am exhausted and losing faith. inj.s also included sacrilliac and facets. facets made no diff.
Hello.
Thanks for writing to us.
If the pain is severe and is not responding to the conservative treatment then surgical decompression and discectomy should be considered. You need to consult a spine surgeon for the same.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Orthopaedic Surgeon, Joint Replacement, Dr. Saurabh Gupta's Response
Hello
Thanks for posting your query.
You are suffering from Disc protrusion . As you are already doing physiotherapy and taking epidural injection and you are not responding with these measures, I suggest you to consult a spine specialist for surgical option (discectomy).This will helps to decompress the spine and relieve pressure over nerve roots.
Hope this will help you
Regards.
Dr Saurabh gupta.
Orthopaedic Surgeon.
You need Neurological consultation - Nerve Conduction Studies and Electromyography to assess the extent of nerve irritation, damage... with a view for possible surgery. It is a mechanical problem and will ultimately need mechanical relief...
You have not stated your personal habits, family history or co-morbidities, even age, gender...which could have an influence on the diagnosis and outcome...
Rest to the part (Splinting if necessary & avoiding weight bearing) is important
Non Steroidal Anti Inflammatory Drugs like ibuprofen reduce pain & inflammation / Gabapentin and/or antidepressants are helpful - they raise the pain threshold, irrespective of the cause
Take care
Wishing speedy recovery
God bless
Good luck
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Severe Cold Sweats And Pain. Could It Be Due To Central Annular Tear?
Hello. Thanks for writing to us. If the pain is severe and is not responding to the conservative treatment then surgical decompression and discectomy should be considered. You need to consult a spine surgeon for the same. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com