Radicular pain

Questions and answers on "Radicular pain"

Hi, My son is 12 years old and has been having neck pain for 2 years . He had an MRI done about a year ago That read C3-4 - C6-7: Mild Disk Desiccation. Minimal broad-based posterior disk bulge. He has pain all the time , but someties a lot more than others. Now he is complaining of his low back on both sided hurting as well for about 3-4 months. He has seen Chiropractic doctors , but it seams to make him more unconfortible. Physical theropy that gave him 15 diffrent exercises to do, but he did not follow throw because their were too many for a child to do. Physical medicine said its nothinghe can take muscle relaxer, but then can't stay awake. His own pediatrician had him take Alieve for 1 month 2x a day and no relief. Accupuncture is the only thing that relieves the pain, but the relief of the neck only lastes a few hours and the low back 1-2 days. Does he need to see a spacialist? How come doctors don't think this is serious when I look up the MRI readings it is a condition we all get as we age and he is so young? He is a very active boy, plays basketball 3 times a week and is skinny. Please Help!!
Thanks, XXXXXXX

doctor1 MD

Hi,

I understand your concern.

The recent studies have demonstrated lower rates of identifiable disease when a child presents to ER with back pain. Even after extensive work up they could not find the actual cause to treat. The incidence of back and neck pain in children is unknown. However the...

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Any literature on shrinking or eliminating spinal synovial cysts that are creating symtoms of spinal compression and nerve root compression (sciatica) at the L4L5 level. I am looking for homeopathic or chiropractic methods. I'm fully aware of all activity restrictions, physical therapy, meds, injections, and mss. Thank you

doctor1 MD

Hello,

Thanks for posting your query.

The basic treatment options for symptomatic synovial cysts is pain killers, drainage of cysts, steroid injections to reduce inflammation and surgery when all conservative methods do not provide adequate quality of life.

Chiropractic distraction manipulation...

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I have a disc problem a lower back disc separated in car accident . I am trying not to have surgery I have a lot of problems unbearable pain I had therapy, epidural,pain killers,muscle relaxers etc. nothing has helped could you please help me if you can give me some helpful advice I would appreciate it
Thank you

doctor1 MD

Hello,

Thank you for writing to HCM about your query,

Brief Answer -

Anti-inflammatory medication such as aspirin, Physical therapy , Steroid injections etc.

Explained Answer -

Conservative treatment of lower disc pain usually is successful over time. It includes:

1. Pain medication or pain...

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My husband has had a herniated disc at L2-L3 for four months, confirmed by MRI. (At the onset, he fell because his left knee "felt like jelly.") Pain has now almost 100% resolved with very conservative treatment (no prescription meds, no epidurals) and follow-up MRI at three months shows a decrease in size of herniation but there is still nerve compression. He has left XXXXXXX numbness and some left quad weakness. He is currently in physical therapy and left quad atrophy is slowly improving.

We have been to several orthopedic surgeons and a physiatrist. Some say give it a year, some say no surgery unless he gets worse, others want to correct every imperfection in his spine...he hopes to avoid surgery, but is discouraged by the slow rate of progress.

We have never had the opinion of a neurosurgeon about nerve compression. (We have been told that if a nerve is involved, get a neurosurgeon.) Might the body continue to absorb the disk fragments and thus relieve the pressure on this nerve? Is there a realistic timeline for this process? Is damage such as this reversible? My husband is 63 and in otherwise good health. We would be content to wait it out if we were sure that waiting is the correct way to go. Any suggestions on helping my husband or info on nerve healing would be greatly appreciated. Thank you so much!

doctor1 MD

Hello,

Thanks for posting your query.

Based on your history, I understand that your husband has lumbar disc herniation at L2-L3, which has been managed conservatively.

Considering his asymptomatic status (no radicular pain), it is better to wait for a few months. Surgery is chosen when the...

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dear doc.,
posterior disc bulge in c3 4 to c6 7 with cervical lordosis. i have been suffering from stiffneck since last 3 yrs,which was diagonised as mentioned in as subject. please advise.

doctor1 MD

Hi XXXXXXX

Thanks for the query.

As your information is incomplete, I would like to know a few things to answer your query better.
1) May I know your age?
2) Do you suffer with pain when on bed rest?
3) Is the degree of pain improving or getting worse?
4) Did you suffer from fever or chills in...

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My mother is 50 years old. She has been suffering from SCIATICA pain for nearly 18 months. There is always a painful sensation in her lower back and sometimes the pain goes down to her entire leg. The pain goes worse time to time and she cannot even stand up during that pain. She has Thyroide problems and regularly takes ELTROXIN 100 AND she also has a high BP. What amway products can give her relief? and what should I do to cure her?

doctor1 MD

Hello,

Thanks for your query.     

At the age of 50 years, I would expect her to have attained Menopause and this can lead to osteoporosis ( in osteoporosis bone mineral density is reduced, so chances of micro fracture or other back problems are high).

In osteoporosis chances of compression of...

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i am 36 yr old weighing around 94 Kgs & measuring 5 feet 11 inches, once in a while i keep getting lower back ache. My waist size is 38 inches, I work for 40 hrs per week & drive almost 3 hrs per day. What should i do?

doctor1 MD

Hello and thank you for submitting your question.

Your question is a good one and I will work I'm providing you with some information and recommendations regarding what is going on.

Low back pain can be caused by a number of different things. The most common cost would be musculoskeletal back...

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I am having acute pain in left leg and my mri report says F/S/O Degenrative disc changes seen with PIVD L4L5, L5-S1 causing compression of B/L nerve root at L4-L5 left right and of the left at L5 S1 mild compression of left nerve root also seen at L3L4 Type II annular tear seen at L4L5 Level. Kindly suggest whether operation has to be done. and what are the risks.

doctor1 MD

Hello

Thanks for the query

From the details provided to me it looks like you are suffering from L5-S1 radiculopathy. Radiculopathy is a condition due to a compressed nerve in the spine that can cause pain, numbness, tingling, or weakness along the course of the nerve. Radiculopathy in you is...

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have burning sensation on front right side of body it stays there but it also travels down the inside of right leg down to my right foot and somtimes my whole body feels hot and i get cold sweats it seems worse when i sit

doctor1 MD

Hello

Thanks for the query

From the clinical details provided to me it looks like you have problems with the nerves exiting from the spine. Burning pain in the right leg traveling down indicate the possibility of radicular pain in you mostly affecting your L5 & S1 radicular nerves on the right...

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I have degenerative disc disease. Is there anything that can be used to relieve pain? I also have fibromyalgia, and MS

doctor1 MD

Hi,

Thanks for the query.

The pain due to degenerative disc disease is treated either conservatively or surgery. We can treat the acute episodes of pain with over the counter anti-inflammatory drugs like ibuprofen or with prescription pain killers. Unresponsive cases are taken up for intrathecal...

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Recent questions on  Radicular pain

doctor1 MD

I have a complicated 7 year history of low back pain with radicular symptoms after prolapsing 2 discs at L4/ L5 when moving house and then L5/ S1 18 months ago. The subsequent CT (can t have MRI due to SCS) apparently showed no nerve impingement or stenosis. 11 weeks ago I had surgery to implant a 2nd lead into my SCS which was implanted 2 years ago and went back to work a month ago. Since my return, my back pain has got really bad, as has the sciatica. It has prgressed over this period so that last weekend I had electric shock type pains in my legs and then I m now getting very bad pins & needles and tingling in both legs, my back, my lower abdomen and yesterday also my saddle area . Today I just have it in my legs, hips and low back as well as burning pain down the sides of my legs but as the day goes on it generally gets worse and at night I can t feel the stimulation from my SCS as it is so stroing. It feels like I have cool water running down from my lower back and down both legs. I have an appointment for reprogramming at the end of the week. Do I take this progression seriously as possibly cauda equina syndrome or similar or leave it and see how it progresses? Many thanks.

doctor1 MD

i had a percutaneous disekomy(stryker) on L3/4 because of posterior disc bulging deforming thecal sac without compromise of neural or foramina. i have radicular L3/4 leg bilateral pain, shin, knee, quads. it is 6 weeks later, pain is same. what procedure do i look for next? thanks

doctor1 MD

I have had two lamenectomys on l- 4 - S -5 .There is no remaking disc at that level. I now have another herniated disc at the l-4 level, which involves a pinched nerve causing pain down the leg. One neurosurgeon recommends another lamenectomy another neurosurgeon disagrees and offered axialif spinal surgery. Can you discuss the pros and cons of each. I am unable to tolerate any type of pain medication for various reasons. I have tried physical therapy and epidural steroid injections without success. I understand that there is some new form of physical therapy for lack of a better word to use. I understand that this therapy was developed by a physician,who like myself, has cerebral palsy and disc problems. Supposedly, this I doctor avoided surgery as a result of this therapy. I also understand that a grant for this treatment must be procured. Do you know anything about this doctor or this treatment.? Can you furnish the details so that I can obtain a grant and begin treatment? I have been in constant pain for the last five years leaving me unable to do anything. I would like to avoid surgery and get my life back. I live in New Orleans, LA. Thank you very much for your assistance.

doctor1 MD

I have back pain in my lower back across my buttocks only after walking about 5 to 10 minutes it goes away when I sit down usually only after several minutes then I can walk again for another short time, laying down or siting causes no pain. after...

doctor1 MD

What is the difference between meralgia paresthetic and IT band syndrome. Can both cause nerve like burning shooting pain at the IT distribution area of the thigh? YYYY@YYYY

doctor1 MD

Hi I had disc replacement surgery at c5 c6 levels As I got again pain I have done MRI and it shows that Posterocentral predominantly left paracentral extru5disc at c6 c7 level causing partial effacement of anterior subarachnoid space and...

doctor1 MD

Dear Dr A.S. Keerthi,

I have had two discectomys at the L5 S1 Level to attempt to decompress my sciatic nerve. Both operations have been un-successful in providing relief of my radicular pain symptoms in my right leg. I have severe neuro-tension (flexion of the spine and small movements in my upper spine bring on my leg pain) My recent MRI scan revealed a re-current small disc protrusion and "thickening of the R Sciatic nerve greater the the L5" I am concerned about potential scar tissue limiting movement of my sciatic nerve and wonder what my prognosis is for the future. I am on gabapentin and mobic for some pain relief but the pain down my leg all the way to my little toe is extremely uncomfortable. Could you provide some light to the darkness that is my situation? Many thanks!

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