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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Herniated Disc. Concerned About Paralysis?

my son has herniated disc(it is ruptured has had a MRI )/ / L5/S1--- he is a hockey player and does not want surgery -- he has no nuerological deficites noted to this point 5weeks of conservitive treatment /medicine / physio/chiropratic/he is going to have a epidural injection . if he continues to p-lay hockey is he at risk to have complications of his condition -- Im concerned about paralysis? cauda equena syndrome ? if he should get hit --should he get this situation corrected he is only 23 -- no hockey career after college hockey likely I think. you shoud answer for free as i have many more and will pay with next questions
Mon, 21 Oct 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

The conservative management of Lumbar disc disease is as follows -

- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful.

If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months.

If all these measures fail to provide you relief, then surgical decompression may be an option.

Hope this information is helpful. Good day
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Herniated Disc. Concerned About Paralysis?

Hi, thanks for writing to HCM. The conservative management of Lumbar disc disease is as follows - - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed. - Use a lumbosacral back support to stabilize your spinal muscles - Intermittent pelvic traction might be helpful to cause a regression of the protruded disc - Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. - Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day