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Dr. Andrew Rynne

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Taking tylenol for spinal stenosis and herniated disc. Any other medicine to take?

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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

Question
I have spinal stenosis and two herniated disc on my two lower disc? My current regime is tylenol 650 2-3 times a day and epidural injections every couple of months. Are there any other supplements/prescriptions that I could discuss with my doctor? Are there any minimal invasive surgeries for spinal stenosis and herniated disc? If yes would it eliminate my pain? On occasion, my foot falls asleep and I have constant pain in the buttocks.
Tue, 29 Jan 2013 in Back Pain
 
 
Answered by Dr. Saurabh Gupta 44 minutes later
Hello,
Thanks for writing to us.

If you dont get better with these treatment (physiotherapy and epidural injections),I suggest you undergo surgery, by which the nerves are decompressed which would significantly improve your symptoms.

Now a days minimal invasive surgery for herniated disc performed through a microscope known as microdisectomy.

Laminotomy and foraminotomy are two decompression surgeries commonly used to treat spinal stenosis symptoms, and both can be done using minimally invasive techniques.

So discuss these options with your surgeon.

Hope this information helps you. Please do write back if you have any additional concerns.
Please accept my answer if you have no further query.

Wishing you good health...
Regards.
Dr Saurabh Gupta.
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PROTOCOL:

-     SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
-     TSE T2 W SEQUENCE IN AXIAL PLANE.
-     STIR SEQUENCE IN CORONAL PLANE.
-     MR MYELOGRAPHY USING HEAVILY T2W SEQUENCE IN SAGITTAL AND CORONAL PLANES ON A 1.5 TESLA SCANNER.

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Dessicative disc changes and anterior osteophytes are noted at multiple levels. Disc height is reduced at L4-5 with degenerative endplate changes at this level.

There is diffuse disc bulge, thickened ligamentum flavum & facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R). The mid sagittal diameter and area of spinal canal are 0.8cm and 0.75cm² (lower normal limits are 1.0cm and 1.5cm² respectively. Effusion is detected in the facet joints.
Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.

Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.

Impression      :     MR findings reveal lumbar spondylotic changes with
     -     Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
     -     Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
     -     Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.

-     To be correlated clinically.

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