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Dr. Andrew Rynne

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Disc reveals diffuse posterior bulge thecal sac, please advise me

I have been having pain since one year, I am 26 years old, male I got my mri done it reveald 1) there is evidence of generalized bulge of the C4/C5/6 levels however not causing any significant compression of the anterior subarachnoid space at these levels . there is evidence of annular tear of the C4/5 level. there is loss of normal cervical lordsis with anterior osteophytic lipping in the cervical vertebrae . Mild grade 1 retrolisthesis of the C5 over the C6 vertebrae. diffuse posterior bulge of the C4-C5 intervertebral disc indenting the thecal sac. No significant neural compromise is noted Diffuse posterior bulge and left paracentral herniation of the C5C6 intervertebral disc indenting the thecal sac and left exiting nerve root. No abnormality in the neck muscles. the pain is really bothering me, in my day to day life, I have done physiotherapy and also taken robiflan,myospaz, and differnt painkillers.please advise me , i am still doing physio,with a different doc, I felt better infact my pain went but after a week its back to the same,
Fri, 3 May 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM. The description suggest that you have Cervical degenerative disc disease. Nothing to bother much about the condition as it should respond to conservative line of management which comprises of the following :
- avoid keeping bulky pillows underneath the head as this will aggravate the disc bulges
- using a "Hard" cervical collar, which prevents the listhesis of C5 over C6
- intemittent cervical traction
- analgesics & muscle relaxants ocassionally.
Despite these steps, if you develop radicular pains in your upper limbs, you need an orthosurgeons consultation. Hope this helps
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General Surgeon Dr. Rajinder Bajoria's  Response
Hi
Welcome to health care magic
you are lucky not to have any nerve compression,but your symptoms suggest PIVD.You should continue with exercise of neck muscles.also try R-11 a homeopathy medicine quite effective in cervical patient.
‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery”

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