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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Pain In Back And Shoulder. MRI Shows Annular Bulge With Small Poster Central & Right Paracentral Herniation. Treatment?

I have had my MRI of the spine done & there is annular bulge with small posterocentral & right paracentral herniation of C5, 6 disc. Annular bulges of C3-4, C4-5 & C6-7 discs. I am in constant pain on the back of my neck, right shoulder with pain extending to my hand up to the fingers. Also have TMJ on my right upper jaw. What treatment is advised for the above?
Thu, 2 Jan 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.
These symptoms are part of disc degeneration with PIVD where the nerves get compressed by the protruded disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Constant Pain In Back And Shoulder. MRI Shows Annular Bulge With Small Poster Central & Right Paracentral Herniation. Treatment?

Hello, Thanks for your query. These symptoms are part of disc degeneration with PIVD where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms I do hope that you have found something helpful and I will be glad to answer any further query. Take care