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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows L4- L-5 Broad Based Disc Bulge With Mild Facet Arthropathy, Pain, Can't Sleep Without Icing. What To Do ?

I have a Mri here just done on 2 20 13 L4- L-5 Broad- based disc bulge with mild facet arthropathy . Moderate + L3 -L4 small broad bacd disc bulge with tiny osteophyte formation. no stenosis and already had L5Si bone graft with Plating at three levels with rods and was hit in the rear end of truck last mouth on 17th and having a lot more pain can t sleep unless on ice and here telling me i am not able to get help
Fri, 6 Sep 2013
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Spine Surgeon,  's  Response
Hi
Thank you for your question.

As you have had prior surgery for fusion you will need and Xray of the lumbar spine as well as a CT scan if there is any doubt on Xrays to evaluate the hardware. If the hardware is found to be intact on imaging you will need treatment with pain medication where the options are ibuprofen, naproxen, meloxicam, tramadol or even stronger one like oxycodone. Local heat will also be helpful. Muscle relaxants like Flexeril or Tizanidine will be helpful to relieve muscle spasms. Facet blocks are injections which can be tried under supervision of a specialist and can offer pain relief from painful facet joints.

Wish you the best.
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MRI Shows L4- L-5 Broad Based Disc Bulge With Mild Facet Arthropathy, Pain, Can't Sleep Without Icing. What To Do ?

Hi Thank you for your question. As you have had prior surgery for fusion you will need and Xray of the lumbar spine as well as a CT scan if there is any doubt on Xrays to evaluate the hardware. If the hardware is found to be intact on imaging you will need treatment with pain medication where the options are ibuprofen, naproxen, meloxicam, tramadol or even stronger one like oxycodone. Local heat will also be helpful. Muscle relaxants like Flexeril or Tizanidine will be helpful to relieve muscle spasms. Facet blocks are injections which can be tried under supervision of a specialist and can offer pain relief from painful facet joints. Wish you the best.