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Had surgeries for back, neck for degenerative disc. Prescribed dilaudid after twisting back. Test for knowing problem?

I have had 2 back surgeries and a neck surgery for degenerative disc disease. They place a rod and screws in my back and neck the last back surgery was 3 years ago. I twisted my back 6 weeks ago and something popped and I have been in severe pain since. The pain Drs even changed my morphine to dilaudid due to the pain. I went to the er and they did an MRI and it showed moderate facet degeneration at l2-l3 I can't sit or stand for any length of time without pain and my legs keep going numb where I fall they just give out, I also have central canal stenosis. Is there another test that they can do to see if I have a pinched nerve or there is something going on with my spinal cord, the last surgery they went in and scraped the inside of the cord to widening it due to the stenosis ?
Asked On : Tue, 15 Oct 2013
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Ayurveda Specialist 's  Response
1. central canal stenosis, causes neurogenic claudication [numbness,weakness, discomfort in the legs] - also suggested by your history of unable to standing for prolonged hours and legs keep going numb} Differential diagnosis

2. Peripheral neuropathy is a frequent concomitant finding or differential diagnosis in elderly patients with spinal stenosis. Neurophysiological assessments including electromyography [EMG] and nerve conduction studies [nuclear imaging] are useful/additional investigations which can be performed.

3.Analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), weight loss and physiotherapy are used in the management of patients with spinal stenosis.
.epidural steroids,Nerve root blocks are useful in treating radicular pain,Surgery is indicated when conservative measures fail and if moderate to severe leg symptoms interfere with the patient’s lifestyle.

dilaudid [hydromorphone hydrochloride]: is a potent schedule II controlled opioid agonist and have the highest potential for abuse and risk of producing respiratory depression. This product may contain inactive ingredients (such as sulfites), which can cause allergic reactions or other problems. Talk to your doctor or pharmacist for more details.
Answered: Tue, 15 Oct 2013
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