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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Back Pain Due To Herniated Discs

Was diagnosed with left parasagittal and paraforaminal disc herniations at L4-L5 and L5-S1 resulting in mild left neural foraminal encroachment; mild right paraforaminal disc bulge at L2-3 with neuroforaminal encroachment; no evidence of significant thecal sac compression or nerve root impingement. Am having difficulty standing, sitting and walking for long periods. In constant pain. Have numbness , tingling, loss of sensation in the right hand, arm, foot and leg. The right foot gives out on occasions. Can t always walk straight. Foot goes off to the side on occasion. Must sometimes labor to lift up the foot when walking. Started to have numbness on the right side of the face. Constant back pain, Will these symptoms get better. What should I do for treatment? I have been on pain medicines for 2 years now. What is the logical next stept? - Am 53 yrs old. 182 lbs. 5 ft 5 in. Have high blood pressure and cholesterol. Initially was diagnosed with an enlarged heart but told recently that the issues with the back (pinched nerves, ruptured disc) are the more likely causes. Only major event recently that occurred was an accident in 2009. Experienced a problem controlling my right hand reflexes during that time and could not write. Still can t write well at times now.
Wed, 10 Aug 2022
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General & Family Physician 's  Response
Hello,

You have high blood pressure and cholesterol, you are diagnosed with an enlarged heart. You have history of an accident that occurred in 2009 and since then you experienced problems controlling your right hand reflexes. Presently you are suffering from back pain and herniated discs. You also experience right side numbing and herniated discs.

You are suggested to get treated for herniated discs, treatment includes therapy, conservative treatment and in case you do not respond to treatment you will be recommended surgery. Physical therapy helps to minimize pain in the herniated disk. Opioids, muscle relaxants, corticosteroid injections are helpful. You can take Naproxen or Acetaminophen, one SOS when required to get rid of pain and discomfort.

Since you have problem in your right side, you are experiencing numbing and also difficulty walking with your right leg you are suggested to get done Nerve conduction study, electromyography (EMG). You will be treated accordingly with neuropathic medicines like Neurontin or Cymbalta, etc. Your treating doctor may recommend surgery if there is difficulty in walking or standing, numbness or weakness, poorly controlled bladder function, etc.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Suggest Treatment For Back Pain Due To Herniated Discs

Hello, You have high blood pressure and cholesterol, you are diagnosed with an enlarged heart. You have history of an accident that occurred in 2009 and since then you experienced problems controlling your right hand reflexes. Presently you are suffering from back pain and herniated discs. You also experience right side numbing and herniated discs. You are suggested to get treated for herniated discs, treatment includes therapy, conservative treatment and in case you do not respond to treatment you will be recommended surgery. Physical therapy helps to minimize pain in the herniated disk. Opioids, muscle relaxants, corticosteroid injections are helpful. You can take Naproxen or Acetaminophen, one SOS when required to get rid of pain and discomfort. Since you have problem in your right side, you are experiencing numbing and also difficulty walking with your right leg you are suggested to get done Nerve conduction study, electromyography (EMG). You will be treated accordingly with neuropathic medicines like Neurontin or Cymbalta, etc. Your treating doctor may recommend surgery if there is difficulty in walking or standing, numbness or weakness, poorly controlled bladder function, etc. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician