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Diagnosed slip disc. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:Hello Doctor
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:I need advise from an ortho, just checked that xxxxxis online for chat
User:My wife has been diagnosed for slip disc, and need to seek advise on this
Doctor:Let me confirm. xxxxxxxx is not available for live chat consultation.
Doctor:If you wish I can address your wife concern.
User:fine doctor
Doctor:The doctor's list that you see
User:we were advised to do an MRI for cervical spine, which has been completed
Doctor:are doctors available to answer queries via XXXXXXX and ask a specialist.
Doctor:Proceed with the query.
Doctor:Are you there?
Doctor:Are you there?
User:the report says "Large fresh left paracentral disc herniation is seen at C5-6 level indenting on the ventrolateral cord surface with extruded disc material encroaching into left neural foramina causing indentation of left exiting C6 nerve root XXXXXXX
User:the Dr XXXXXXX (consultant spine surgeon ) M S Orth (Fellowship / Training in Spine (Singapore / Germany) has advised C56 - AOR / ALDF OR Nucleoplasty with guarded program
User:need ur further advise
Doctor:Is your wife having pain, weakness of upper limbs or tingling or weakness>
Doctor:Based on the scan reports, the prolapsed disc is compressing on a nerve
User:she is having some pain in the neak, weakness and numbness in the left arm
Doctor:which can be causing severe pain, weakness and sensory disturbances.
Doctor:Depending on the amount of neurological deficits she has
User:which also results at times in dropping of things, though not always (left arm)
Doctor:which can be determine clinically and a test like EMG
Doctor:the treatment can be decided.
User:she is able to walk and move around, but sleeping is really difficult, as also getting up and down to lie down
Doctor:We can treat this problem by conservatively by means of oral medications, injectable drugs, spinal injections, physiotherapy and so on.
User:could you kindly elaborate on this EMG test
Doctor:Surgical treatment is warranted if there is severe uncontrollable pain, weakness or when there is neurological deficts.
Doctor:EMG also known as electromyelogram is a neurological test.
Doctor:It is a simple procedure in which the functions of the peripheral spinal nerves are tested by using low voltage electric currents.
Doctor:The test is simple and doesn't have any complications.
Doctor:A neurologist / neurosurgeon or back surgeon can guide your wife through the test.
Doctor:Depending on it further decision to operate - when and how can be decided.
Doctor:I would suggest to consult a back surgeon / neurosurgeon
Doctor:if you haven't met yet.
Doctor:Spine surgery will be the curative treatment for this condition.
Doctor:Have you followed?
User:So Doctor, as you suggest, even if we consult a neuro, spine surgery will still be required, either soon or at a later point in life
Doctor:The conservative treatment which I mentioned is to keep the symptoms and the condition under control.
Doctor:It wouldn't reverse the problem
Doctor:Surgery would be required sooner or later.
Doctor:It is the only means of curing this condition.
Doctor:Have you followed?
User:yes doctor, following to a large extent.
Doctor:Spine surgery has its limitations.
Doctor:I would advice you to get the procedure performed by a surgeon who is experienced with such procedures.
Doctor:In this regards, a back surgeon (who is an orthopedician) or a neurosurgeon would be more qualified for performing the procedure.
Doctor:I am not aware of the expertise of your doctor,
User:is it possible if we can try to email the MRI images for some doctor say Dr XXXXXXX and seek advise on immediate medical course
User:Dr XXXXXXX our doctor Dr XXXXXX is a consultant spine surgeon
User:He has conducted 4,500 surgeries so far
Doctor:Then he would be ideal to perform the procedures.
Doctor:If you wish to take a second opinion on XXXXXXX I suggest you take an opinion from Dr. XXXXXXX XXXXXXX who is a back surgeon.
Doctor:Dr. XXXXXXX XXXXXXX has experienced in performing multiple spine surgeries.
User:so how can I take an opinion from Dr XXXXXXX
Doctor:xxxxx an orthopedician by qualification.
Doctor:You can post your query and if possible send the scanned MRI films (not just the report) along with the query.
User:will I need to send an email or do it directly
Doctor:I shall request one of the customer support team to inform you the process
Doctor:Do you have any other query that you wish to discuss with me?
User:no doctor, that's the only issue I had to discuss
User:do I need to stay online for your customer support team on the procedure
Doctor:We can end this discussion.
Doctor:Our support team can call you shortly.
Doctor:Thanks for consulting me.
Doctor:Have a nice day
Doctor:Bye for now.
User:thank you very much. my contact number is 0000
User:thanks for your help
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