Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
130 Doctors are Online

Osteodegenerative disc disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hi may i know who am i speaking to
Doctor :   I am Dr. XXXXX
User :   Can I speak to Dr.YYYYY as i have an appointment with him
Doctor :   Wait, I will ask him to take over..
User :   ok
User :   any one there
Doctor :   Yes please
Doctor :   Dr. YYYYY here
User :   hi doc
Doctor :   Did you get the MRI done?
Doctor :   Hello!
User :   yes
Doctor :   Could you please type in the report?
User :   i am
User :   give me a min to type
Doctor :   sure
Doctor :   take your time
User :   Osteodegenerative disc disease seen at C5-C6 with right side protrusion which causes mild compression n the right nerve root and normal right intervertebral foramina.
User :   The rest of disc spaces and vertebrate was unremarkable.
User :   Normal signal of intensity of cervical cord.
Doctor :   Ok
User :   No evidence of paravertebral pathology.
User :   The rest of study is unremarkable
User :   Thats the report doc
Doctor :   Ok
User :   but its confusing
Doctor :   Have you conveyed this report to your neurologist?
User :   THE DOC was also confused
Doctor :   Don't worry
User :   because the pain and feeling is on left side
User :   not Righr?
Doctor :   I will clarify all your doubts
User :   perhaps all is ok but the lap person made a mistake
User :   of left or roght
Doctor :   And make you feel comfortable
User :   by the way doctor gave me medicines
User :   shall i tell u what he says and gives
Doctor :   Yes
Doctor :   Please tell me..
User :   he said the issue is frm the neck down
User :   so i should wear collaer
Doctor :   ok
User :   then there is nver compression at two upper discs
User :   he gave me the following medicines
Doctor :   ok
User :   1. LYRICA 75 mg Pregabalin Hard capsules by Pfizer
User :   then 2. Arcoxia (etoricoxib) from Merc Sharp and Dohme limited
Doctor :   ok
User :   got it?
User :   he also said i should do nect exercise and shoulder
User :   now why i am confised is the following
Doctor :   ok
Doctor :   Ok
Doctor :   Firstly, relax
User :   1. He spoke so little did not comofrt me at all
User :   nor listen to me in depth
Doctor :   I will explain everything
User :   when i asked which exercise
User :   he said just normal ones
User :   he should have told me precise ones or rfer to some physiotherapy
Doctor :   Ok
User :   second he confiuses me firther with this right and left
User :   rep says right
User :   while i have issues on left
User :   then he said ZZZZZ
User :   this mri and report is not final
User :   am giving you these medicines
User :   take for 2 weeks and wear collar and then see me
Doctor :   Ok
User :   he also says wear coller but move ur neck freely not stiff like other people wear coller
User :   i also told him that doctor i am currently taking parafon tab
Doctor :   ok
User :   and shall i cont?
User :   he did not say anything
Doctor :   yes
User :   Doctor, if i stop parafon, the feeling bnecomes terrible
User :   now you tell me
Doctor :   Ok
User :   will you talk to some nerologist and comfort me?
Doctor :   You please relax
Doctor :   I will help you
User :   ok
User :   one more thing what is GAD?
User :   sorry you please carry on
Doctor :   Tell me
Doctor :   you finish asking me all your doubts
User :   no you please go ahead
User :   ok
User :   just last thing
Doctor :   yes please
User :   i told him that the pain is always there in the osition
User :   i also told you
User :   left side under shoulder and in the center spinla
Doctor :   ya
Doctor :   ok
User :   some times not pain, but sensation travels upwards to shoulder
User :   and sometmes on my elbow and even fingers
Doctor :   ok
User :   sometimes even to my thighs and heels
User :   like spikes
User :   the medicines he gave me
User :   i read their contents
Doctor :   ok
User :   one of them talks about gad
User :   so i asked
User :   anyway
User :   pls go on
Doctor :   tell me
User :   no its ok
User :   pls go on
Doctor :   firstly, you have a problem
Doctor :   which has a solution
User :   thats good
Doctor :   does that make you feel better?
User :   yes it does
Doctor :   good
Doctor :   secondly, you need time for your problem to be resolved
User :   ok
Doctor :   so you must understand that there is no quick fix solutions to your
Doctor :   problem
User :   ok
User :   but will i get some releif from this burning in one month?
Doctor :   you inter vertebral disc spaces have narrowed
Doctor :   yes, you will surely feel better
Doctor :   if you follow my advice
Doctor :   since the spaces are narrowed
User :   i will follow every word you said
Doctor :   it is pressing on the nerves and causing all the pain
Doctor :   very good
Doctor :   that should be the spirit
Doctor :   I will help you in every possible way
User :   thanks
Doctor :   But the confusing thing id that of the report
Doctor :   it says that the prob is on the right but your symptoms are on the left
Doctor :   right?
User :   yes
Doctor :   ok
User :   thats what the doc was confused then he said report is not final
User :   there is some thing else
Doctor :   it is very true
User :   the person who took my mri
User :   after its finished
Doctor :   some times it might so happen that the reports are misplaced
User :   he was looking thru computer
User :   and i asked him
Doctor :   if it is not the case with you
User :   is all ok?
User :   he said yes
User :   then he asked me
Doctor :   we have to consider your symptoms for the treatment
User :   is the pronlem on the left hand shoulder?
Doctor :   ok
Doctor :   then?
User :   so he knew some thing by looking at the screen images that i have issues on left
User :   then he asked me better let doc tell me
User :   i said ok but is it bad
User :   he said no
Doctor :   ok
User :   then he asked if i do lot of comp sitting
User :   i said yes
User :   he then said you should take rest
User :   thats all
Doctor :   the radiographer is a technical person
User :   so am saying that the indication all said left side
User :   the report belongs to me
User :   but perhaps the word left is mistyped
Doctor :   he will not be knowing anything about the disease
User :   more likely
Doctor :   yes
User :   so doc if the report is misplaced then should i take his medicines???
Doctor :   yes
User :   or shall i send you the actual x rays via dhl?
Doctor :   I will tell you about the medicines now
Doctor :   Please listen carefully
User :   ok
Doctor :   The pregabalin is a neuro medicine
Doctor :   which helps in the recovery of the injured nerves
Doctor :   we will sort out the right or left matter later
User :   ok
Doctor :   my first objective is to make you feel better
Doctor :   so we will take it for granted that the disease is on the left side
User :   i want to be relaxed and i think you are doing the right one for me
Doctor :   so if you take pre gabalin
Doctor :   your nerves will regain the energy and recover soon
Doctor :   thank you for your trust in me
Doctor :   the second tablet etoricoxib is a pain killer
User :   ok
Doctor :   used specially for orthopedic cases like yours
Doctor :   It is a very powerful one only if you believe the medicine will work
Doctor :   The body is an amazing machine
Doctor :   if youe dont believe that the medicine will work, it will not work
Doctor :   So believe that it will work wonderfully for you
User :   i will belive only now because the way you tell me is
User :   better
Doctor :   Good
Doctor :   then about parafen
Doctor :   see parafen is a muscle relaxant
User :   yes
Doctor :   it will relax your muscles and loosen it so that the nerves are not compressed
Doctor :   if you feel your pain is relieved by it, take it
User :   ok
Doctor :   but as you might know, every medicine will have a side effects
User :   i will first not take it, as i will want to continue with the two medicines he gave today and keep in mind what you said
User :   then see
Doctor :   which will linit its usage
Doctor :   limit usage
Doctor :   sorry for the mistake
Doctor :   Ok
User :   its ok
Doctor :   so you stop parafen and take these 2 medicines
User :   yes
Doctor :   and importantly believe they will work for you
Doctor :   then about your cervical collar
Doctor :   You need to wear it continuously
User :   and he gave me 2 boxed of pregabalin for 2 weeks and the other one for 1 week
Doctor :   ok
User :   so i should take these medicines for 2 weeks
Doctor :   you need to wear it for the simple reason that it will support your neck
User :   and then report
Doctor :   yep, take it and report to him
Doctor :   dont ignore any doctor's advice
User :   doctor am sorry
User :   i missed two things
Doctor :   Yes please
Doctor :   You may tell me now
User :   first
User :   the collar he wrote is like this
Doctor :   yes
User :   diamond sponge collar la
User :   saying that i should wear and not stiff but move neck freely
User :   i have not bought it yet
User :   is this a diff coller
Doctor :   going by the name I cant tell you about this for sure
User :   ok
User :   let me go to pharpacy and then tell u later
Doctor :   but I am sure the neurologist wouldn't prescribe whats not useful to you
User :   the second thing there is a 3rd medciines he gave
User :   since it was small packet
User :   i forgot to tell u
Doctor :   so confide in him and be patient
Doctor :   tell me
User :   three times a day for 1 week
User :   its called Sirdalud - Tizanidin 2mg
Doctor :   ok
User :   u know about this
User :   its from Novartis
Doctor :   yes
Doctor :   I do know about it
Doctor :   Tizanidine is a muscle relaxant like parafen
User :   great
Doctor :   so if you take tizanidine
User :   so i guess i should now focus on the treatment
Doctor :   there is no need to take parafen
User :   with a will to recover
Doctor :   yes you will recover
Doctor :   I was telling you about the collar
User :   yes
Doctor :   You need to wear the collar
Doctor :   but one change
User :   yes?
Doctor :   Wear it for the prescribed duration
Doctor :   What the Doctor meant bu move your head freely is
User :   no
Doctor :   That while on a collar
User :   he said wear the collar for 1 month
User :   then he told me with his face that
User :   i should not stiff my neck or face
Doctor :   the neck muscles will get stiff and will aggarvate your problem
User :   while wearing i should act freeling with movements
Doctor :   Please hear me out completely
User :   bec i see those people who wear collar behaves so stiff
User :   ok
User :   all ears
Doctor :   I will clear the doubts at the end
Doctor :   You should move the head up and down and to the side
User :   go ahead doc
Doctor :   as we move in our normal routine
Doctor :   but ONLY 2-3 times a day
Doctor :   so that the muscles will not get stiff
Doctor :   otherwise restrict your head movements
User :   ok
Doctor :   do it when you have least pain
User :   doctor i have office hrs from 9 to 6 pm
User :   i dont want to wear in office
Doctor :   and stop any movement which will cause apain to you
User :   i can wear when driving my car, when i came back home at 6 pm and wear it from 7 pm until 9 pm
User :   is that enough?
Doctor :   I am sorry to tell you that I don't have a solution to that
User :   ok
Doctor :   You have to wear it through out the day
User :   let me ask then
Doctor :   since it is for your own good
User :   you are telling me to wear it 2-3 times a day right?
Doctor :   no
User :   then?
Doctor :   i want you to wear it all through the day
Doctor :   but move your head
Doctor :   only 2 to 3 times a day to prevent the muscles from becoming stiff
User :   ah ok
Doctor :   got it?
User :   got it
Doctor :   good
Doctor :   now your exercise part
User :   yes
Doctor :   I wouldn't be the best person to advice you about the exercise since I haven't examined you
Doctor :   You definately need to see a physiotherapist with all your reports
User :   ok i will see to that
Doctor :   they will check different parameters and will teach you exercise
Doctor :   that if followed properly
Doctor :   will work wonders
User :   so strange that the doc did not advise me to see any instead he just said syand up and move ur hands left right etc
Doctor :   believe me wonders
Doctor :   He might have been busy
Doctor :   so couldn't attend to you fully
User :   doc can i ask one thing
Doctor :   so never mind
Doctor :   I am here to help you
Doctor :   any time
User :   i see on the medical hospital panel list
User :   many doctors
Doctor :   so see a physio therapist
User :   is physiotherapist the same?
User :   i mean i can call the hospital and ask to take appointment?
User :   with a physiotheripst?
Doctor :   Of course
User :   ok
User :   will do
User :   anything else u like to tel me doc?
Doctor :   you can search a physiotherapist from out list on our website
User :   ok
Doctor :   and try to restrict your hand movements to bare minmum
User :   wil do
Doctor :   we just cannot predict
User :   doctor i want to tell you that you have been most helpful to me
Doctor :   which movements
Doctor :   will cause nerve compression
Doctor :   thank you
User :   ok doc
Doctor :   please fill the form that I send you
User :   thanks for your time
Doctor :   and say when done
User :   i will fill it
Doctor :   Is there anything else I can help you with?
User :   no
User :   thanks
User :   and you take care
Doctor :   We have introduced a free SMS channel for our valuable users. To subscribe for Free Daily Health Tips on your mobile â?? click
WWW.WWWW.WW or SMS "HealthcareMagic" to +91-0000
Doctor :   you too
User :   will do that
User :   cheers
Doctor :   good night
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor