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What Should I Do In Posterior Disc Bulge With Cervical Lordosis ?
Question: dear doc.,
posterior disc bulge in c3 4 to c6 7 with cervical lordosis. i have been suffering from stiffneck since last 3 yrs,which was diagonised as mentioned in as subject. please advise.
posterior disc bulge in c3 4 to c6 7 with cervical lordosis. i have been suffering from stiffneck since last 3 yrs,which was diagonised as mentioned in as subject. please advise.
Hi XXXXXXX
Thanks for the query.
As your information is incomplete, I would like to know a few things to answer your query better.
1) May I know your age?
2) Do you suffer with pain when on bed rest?
3) Is the degree of pain improving or getting worse?
4) Did you suffer from fever or chills in the recent past?
5) Did you undergo any surgery in the recent past?
6) Did you suffer from any trauma or motor vehicle accidents or work related or sports related injuries?
7) Can you the describe the pain? Is it diffuse, stretching, radicular?
8) May I know the duration of the pain?
9) Can you point out the location of the pain?
10) Can you state the distribution of the pain in the region?
11) Can you state the aggravating and relieving factors of the pain?
12) Do you suffer from any neurological deficits?
13) Do you smoke or consume alcohol?
14) Do you suffer from any diagnosed medical conditions?
15) Are you on any regular medications?
Herniated nucleus pulposus (disc bulge) without radiculopathy can present with limited restriction of movements and referred pain. Patients with an Herniated nucleus pulposus with radiculopathy (associated pain along with the supply of the nerve) may present with limited restriction of movements and radicular pain, dermatomal (nerve specific) sensory loss, diminished strength in a myotomal (nerve supplying a particular muscle) distribution, and loss of muscle stretch reflexes. The treatment and the prognosis of the condition depends on the symptoms and the cause.
It would be better for me to suggest you after knowing all the details.
Meanwhile you can try the following measures:
1) To regularly follow neck muscles strengthening exercises
2) Hot fomentation to relieve pain
3) Analgesics will help you
4) In acute radiculopathy, most patients recover within several weeks to months. In cervical discogenic pain syndrome (CDPS), on following routine basis of exercises, would strengthen the spine and associated muscle groups, which may help prevent injury in the future.
It would be better for me to advise you after knowing your details.
In anticipation of your reply.
Regards.
Thanks for the query.
As your information is incomplete, I would like to know a few things to answer your query better.
1) May I know your age?
2) Do you suffer with pain when on bed rest?
3) Is the degree of pain improving or getting worse?
4) Did you suffer from fever or chills in the recent past?
5) Did you undergo any surgery in the recent past?
6) Did you suffer from any trauma or motor vehicle accidents or work related or sports related injuries?
7) Can you the describe the pain? Is it diffuse, stretching, radicular?
8) May I know the duration of the pain?
9) Can you point out the location of the pain?
10) Can you state the distribution of the pain in the region?
11) Can you state the aggravating and relieving factors of the pain?
12) Do you suffer from any neurological deficits?
13) Do you smoke or consume alcohol?
14) Do you suffer from any diagnosed medical conditions?
15) Are you on any regular medications?
Herniated nucleus pulposus (disc bulge) without radiculopathy can present with limited restriction of movements and referred pain. Patients with an Herniated nucleus pulposus with radiculopathy (associated pain along with the supply of the nerve) may present with limited restriction of movements and radicular pain, dermatomal (nerve specific) sensory loss, diminished strength in a myotomal (nerve supplying a particular muscle) distribution, and loss of muscle stretch reflexes. The treatment and the prognosis of the condition depends on the symptoms and the cause.
It would be better for me to suggest you after knowing all the details.
Meanwhile you can try the following measures:
1) To regularly follow neck muscles strengthening exercises
2) Hot fomentation to relieve pain
3) Analgesics will help you
4) In acute radiculopathy, most patients recover within several weeks to months. In cervical discogenic pain syndrome (CDPS), on following routine basis of exercises, would strengthen the spine and associated muscle groups, which may help prevent injury in the future.
It would be better for me to advise you after knowing your details.
In anticipation of your reply.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi doc.,thanks for your reply.let me tell you about myself.i was a very fit guy into weight-training and was into all kinds of sports activities since childhood.in the year 1996,i was diaginised for pitituary adenoma and operated on 17th aug.1996.since then,i put on lot of weight,went up to 105kgs,which ultimately came down to 88-90kgs through exercise.i m an actor by profession and i drink 20 days a month but limits to 3 pegs.and smoke occassionally.during one of the shoots in umargaon in maharashtra.i went back to my hotel after finishing shoot.i found that the pillow was very thick.as i was tired.i slept on it and when i woke up in the morning i could not move my neck.since theni have seen many doctors who initially diagonised it as ankylosing spondy.but never gave any medicines for it except muscle relaxtants and painkillers because the symtoms of anky.spond.were missing.please advise.
Hi again,
Thanks for the information.
The diagnosis suspected ( Ankylosing spondylitis ) in you could be a considerable one,as the symptoms you have could be a part of the disease presentation.Also the sdondylosis of the spine do complicate into disc bulge and subsequent disc herniation which could be delayed or prevented by immobilization in the spine with a cervical collar and regular good cervical exercises.
There are certain tests like CBC, ESR and HLA-B27 antigen which can give some clue into the diagnosing Ankylosing spondylitis.
Once the diagnosis is confirmed you can be started on newer oral medications which are effective like Drugs called TNF-inhibitors (etanercept, adalimumab, infliximab), which block an inflammatory protein, have been shown to improve the symptoms of ankylosing spondylitis.Meanwhile you can apply Diclofenac gel and tab Naprosyn if the pain is unbearable.
Hope I have answered your query.
Wishing you good health.
Regards.
Thanks for the information.
The diagnosis suspected ( Ankylosing spondylitis ) in you could be a considerable one,as the symptoms you have could be a part of the disease presentation.Also the sdondylosis of the spine do complicate into disc bulge and subsequent disc herniation which could be delayed or prevented by immobilization in the spine with a cervical collar and regular good cervical exercises.
There are certain tests like CBC, ESR and HLA-B27 antigen which can give some clue into the diagnosing Ankylosing spondylitis.
Once the diagnosis is confirmed you can be started on newer oral medications which are effective like Drugs called TNF-inhibitors (etanercept, adalimumab, infliximab), which block an inflammatory protein, have been shown to improve the symptoms of ankylosing spondylitis.Meanwhile you can apply Diclofenac gel and tab Naprosyn if the pain is unbearable.
Hope I have answered your query.
Wishing you good health.
Regards.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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