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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intense Pain All Over, Had Rhizotomy In L3, L4, L5 Discs. Intense Pain In Spine. What Are The Options ?

I am in intense pain all over all the time. I recently hada Rhizotomy in my L3-4, L4-5 and L5-S1 discs. It has helped with the nerve pain in my legs but I still am in pain in that region. I also have intense pain in my thorasic and cervical spine. I had a MRi on those areas and the results showed, thorasic spondylosis with multilevel disk degeneration in the mid thorasic spine.
T4-5 disk degeneration with loss of disc height. Left paracentral disc protrusion or osteophyte complex. No significant narrowing of spinal canal or bilateral neural foramina.
T5-6 disc degeneration and loss of disc height, mild posterior disk bulge with no significant spinal canal or neural foraminal narrowing.
T7-8, left paracentral disk protrusion or osteophyte complex with effacement of the ventral aspect of the the thecal sac and contact with the ventral aspect of the cord. Otherwise no significant spinal canal or foraminal narrowing.
C5-6 mild broad-based disk osteophyte complex with partial effacement of the ventral aspect of thecal sac. Mild narrowing of spinal canal. No neural foraminal narrowing.
T6-7 mild broad-based disk osteophyte complex with no significant spinal canal or neural foraminal narrowing.

Wondering what all this means and what my options are?

I did have a lamenectomy of my L4-5, L5-S1 discs on 2007.
Tue, 12 Nov 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
these are abnormalities of the spine. The treatment however shall depend on the age, the intensity of the pain or other associated symptoms and the initial response to therapy. Treatment options are numerous. they range from phsyiotherapy, drugs (non steroidal anti inflammatory drugs, steroids), infiltration of drugs into the spine, and in very resistant or serious cases, surgery. A complete review by your orthopedic surgeon, compliance to treatment are initial key points in the management. Kind regards
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Intense Pain All Over, Had Rhizotomy In L3, L4, L5 Discs. Intense Pain In Spine. What Are The Options ?

Hi and thanks for the query, these are abnormalities of the spine. The treatment however shall depend on the age, the intensity of the pain or other associated symptoms and the initial response to therapy. Treatment options are numerous. they range from phsyiotherapy, drugs (non steroidal anti inflammatory drugs, steroids), infiltration of drugs into the spine, and in very resistant or serious cases, surgery. A complete review by your orthopedic surgeon, compliance to treatment are initial key points in the management. Kind regards