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Suggest Treatment For Spinal Problem

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Posted on Wed, 3 Dec 2014
Question: My mom is suffering from spinal problem
below is the MRI IMPRESSION:  

· Cervical Spondylosis.


· Posterior disc osteophyte protrusion at C3 – C4 &  C4 – C5 levels, causing thecal

sac indentation and narrowing of spinal canal.

· Posterior and right paracentral disc osteophyte extrusion at C5 –C6 & C6 – C7 levels, causing thecal sac indentation and narrowing of spinal canal and right
C5-C6 and c6-c7 is 7 mm

neural foraminae with impingement over the cord and right exiting nerve root.

would like know what are our options to treat this and would want to know if ayurvedic or physio would help as we are trying to avoid surgery
doctor
Answered by Dr. Dr. Praveen Tayal (17 minutes later)
Brief Answer:
medicines and physiotherapy can help.

Detailed Answer:
Hello,
Thanks for posting your query.
The MRI report given above goes with Cervical Spondylosis.
Your Mother has features of Disc Prolapse at C4-C5-C6-C7 levels with moderately severe compromise of neural foramen. There is also nerve root impingment.

Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression.

Initial Treatment options include Pain Killers and Physiotherapy.
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Methylcobalamin supplements are also recommended for nerve compression symptoms.
4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. She can avoid using a pillow/ watching TV or working on computer.
Avoid prolonged sitting / leaning forward/ 2 wheeler driving for long distances.

A course of Muscle relaxants, interferential therapy (IFT) and/or Intermittent Cervical Traction (ICT) for a week followed by exercises will help her.

If she doesn’t get better with these treatments , then she might need surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve the symptoms.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Spinal Problem

Brief Answer: medicines and physiotherapy can help. Detailed Answer: Hello, Thanks for posting your query. The MRI report given above goes with Cervical Spondylosis. Your Mother has features of Disc Prolapse at C4-C5-C6-C7 levels with moderately severe compromise of neural foramen. There is also nerve root impingment. Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression. Initial Treatment options include Pain Killers and Physiotherapy. 1. Use of cervical collar helps in immobilisation and brings relief. 2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms. 4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. 6. She can avoid using a pillow/ watching TV or working on computer. Avoid prolonged sitting / leaning forward/ 2 wheeler driving for long distances. A course of Muscle relaxants, interferential therapy (IFT) and/or Intermittent Cervical Traction (ICT) for a week followed by exercises will help her. If she doesn’t get better with these treatments , then she might need surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve the symptoms. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal