HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Lumbar MRI Showed A Disk Bulge And Herniation. History Of TLIF Spinal Fusion. What Does It Sound Like?

Hello good evening. My name is Robert. I have a previous history of TLIF spinal fusion L5-S1 in 2011. I was involved in an auto accident in 6/11/13 while at work. I was struck from behind by a Frito Lay delivery truck and a sedan. I went to the ER, and was referred for Neuro Surgery. Neuro surgeon referred me to a neurologist who conducted EMG / NCV which indicated Chornic Bilateral Radiuclaphty. I requested Lumbar MRI which reported small central disk bulge at L5-S1 area, and Cervical MRI which indicated C4-C5 of a small subligamentous disk hernation at left ventral touching cord. I have felt moderate to severe pain for almost 5 months. I am scheduled to see a Neuro Surgeon in 2 weeks. I had previous bad experience with pain management, and I am wondering if I should reconsider having surgery again for the back and most likely neck. Any feedback is greatly appreciated. I do have a workers comp & third party attorney working on case recently.Thanks
Fri, 8 Nov 2013
Report Abuse
Anesthesiologist,  's  Response
hello Mr Robert , you mentioned that EMG/NCV studies indicated chronic bilateral radiculopathy.Is this report for upper or lower limbs?If it is for lower limbs , with ur previous history of TLIF fusion for L5-S1 and present MRI showing small central disc bulge at the same region you neednot worry for this as it is already a pre existing problem.Do you have such a severe neck pain n radicular pain in both hands incapacitating ur daily activities now ?Do u have any difficulty in gripping things with hands or do u have any difficulty in combing ur hair or buttoning n unbuttoning of shirt?If u dont have any of the above mentioned,small subligamentous disc herniation at C4-C5 region,I always advise you conservative treatment in the form of wearing a hard cervical collar when u r at work ,analgesics like tab aceclofenac 100mg twice daily after food,one tablet pantaprazole 40mg on empty stomach in the morning half an hour before breakfast, a pregabalin tablet 75 mg per day and physiotherapy (IFT) n one week of bed rest is advisable.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on MRI


Loading Online Doctors....
Lumbar MRI Showed A Disk Bulge And Herniation. History Of TLIF Spinal Fusion. What Does It Sound Like?

hello Mr Robert , you mentioned that EMG/NCV studies indicated chronic bilateral radiculopathy.Is this report for upper or lower limbs?If it is for lower limbs , with ur previous history of TLIF fusion for L5-S1 and present MRI showing small central disc bulge at the same region you neednot worry for this as it is already a pre existing problem.Do you have such a severe neck pain n radicular pain in both hands incapacitating ur daily activities now ?Do u have any difficulty in gripping things with hands or do u have any difficulty in combing ur hair or buttoning n unbuttoning of shirt?If u dont have any of the above mentioned,small subligamentous disc herniation at C4-C5 region,I always advise you conservative treatment in the form of wearing a hard cervical collar when u r at work ,analgesics like tab aceclofenac 100mg twice daily after food,one tablet pantaprazole 40mg on empty stomach in the morning half an hour before breakfast, a pregabalin tablet 75 mg per day and physiotherapy (IFT) n one week of bed rest is advisable.