HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Chornic Back And Neck Pain

I am having chornic back pain neck and lower the most rate right now lower back 7-8 o had a MRI WITHOUT CONTRAST IT SHOWed multilevel disc desiccatuo with endplate spurring and lisc height loss posterior sisc bulging greater on right disc osterophyte and bilater facet arthoropathy moderately severe and neural foraminal norrowing and canal stenosis facet hypertophy i am in so much pain help me understand please
Thu, 23 Nov 2017
Report Abuse
Orthopaedic Surgeon 's  Response
Dear patient
there are two reasons for your back
1. facetal degeneration and hypertrophy suggestive of instability
2. disc degeneration and spurring with arthritic changes may be related to age.
The reason for pain in limbs is canal stenosis with nerve compression and ischaemia resulting in neurological claudication.
Facet joints are on both sides of vertebra and holds both vertebra together with intervertebral disc. Degenerative changes in disc leads to loss in their height which strains facet joints. In turn facet joints reacts by hypertrophy and arthritis trying for natural fusion. All this process leads to back pain.
Nerve roots pass through narrow canal known as spinal canal. Narrowing of canal due to bony spurs and ligamentum flavam hypertrophy leads to canal stenosis. This impedes blood supply of nerve roots and pain in lower limbs while you walk.
you need to consult spine surgeon to discuss various treatment options like canal decompression or fusion. all the best.
I find this answer helpful

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Chornic Back And Neck Pain

Dear patient there are two reasons for your back 1. facetal degeneration and hypertrophy suggestive of instability 2. disc degeneration and spurring with arthritic changes may be related to age. The reason for pain in limbs is canal stenosis with nerve compression and ischaemia resulting in neurological claudication. Facet joints are on both sides of vertebra and holds both vertebra together with intervertebral disc. Degenerative changes in disc leads to loss in their height which strains facet joints. In turn facet joints reacts by hypertrophy and arthritis trying for natural fusion. All this process leads to back pain. Nerve roots pass through narrow canal known as spinal canal. Narrowing of canal due to bony spurs and ligamentum flavam hypertrophy leads to canal stenosis. This impedes blood supply of nerve roots and pain in lower limbs while you walk. you need to consult spine surgeon to discuss various treatment options like canal decompression or fusion. all the best.