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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should The Medication Be For Herniated Disc And Tear In Spinal Cord?

My father aged 70 had a lacunar infaraction an year ago.After consulting a neurologist and taking few pills he recovered 90 percent.But, he also developed server pain in the lower back and in the legs region, which is causing extreme difficulty while walking.He however manages to walk a mile per day slowly.After consulting an orthopedican and getting an MRI done, he discovered that there is a disc bulge l4 l5 and thats causing the problem and suggested phisio-therpay as a solution. But phisiotherapy didnot work and he is still facing the same problem.When consulted with other doctors, they are of the opinion that it may be related to the brain or due to lacunar infaraction and not really anything to do with disc bulge l4 l5 ( herniated disc), or wear and tear in the spinal cord which is generally associated with this age. We are a kind of unsure as to whom to contact and how to proceed with medication. Please help as what

can we do from here



Fri, 2 May 2014
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Sports Medicine Specialist,  's  Response
I would say that the pain is very unlikely to be related to the lacunar infarct. It is more likely due to degeneration of the spine, which is indeed age related. I would consider surgery an extreme last resort. But if physical therapy didn't work, then medications (like easy-to-tolerate pain killers like Tramadol or Nucynta) would help, as well as likely lumbar epidural steroid injections.
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What Should The Medication Be For Herniated Disc And Tear In Spinal Cord?

I would say that the pain is very unlikely to be related to the lacunar infarct. It is more likely due to degeneration of the spine, which is indeed age related. I would consider surgery an extreme last resort. But if physical therapy didn t work, then medications (like easy-to-tolerate pain killers like Tramadol or Nucynta) would help, as well as likely lumbar epidural steroid injections.