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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for herniated disc

I have a herniated disc with bone spur resting on spinal cord. (t10-t9) I had a fall two month ago and have steadly been having problems with pressure in the head and some back pain. Also, my b/p is going out of control. I have had very good control until after the fall. This makes me feel very anxious . I have been taking lorasapam for anxiety , that does nothing for the feeling of pressure and b/p problems. Thank You for any communication.
Tue, 24 Feb 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Between the bones we also have nerve roots originating in the spinal cord and passing through foramen between bones.

You seem to be having discs at a particular level that is protruding between the bones and this protrusion is backwards and causing symptoms. There is also extra bone growth at that level leading to additional pressure on the nerve roots. It might also cause obliteration of lateral recess and neural foraminal compromise. This is leading to pinching of nerves causing severe pain.

There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers for up to a year. Injections are also given for relief. However this might not always happen. Lorazepam is a potent medication to help reduce your anxiety. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the lower back region by a neurosurgeon. Presently, laser assisted surgical techniques and radio frequency ablation is also available.

You can try to feel more comfortable at work by taking small breaks every 30 minutes and not straining your spine especially the painful areas. Please do not worry.
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