إسأل Licensed Physician الآن

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

Doctor

I have a disk at 1.22 cm between 4 and 5 th part...

تم تقييم هذه الإجابة:
I have a disk at 1.22 cm between 4 and 5 th part of spinal cord... sure I have severe pain since 6 months now... is it a must surgery
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Celebrex since 6 months.. and just today made the mri
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
It's been 12 years since started..and I take pain killers.. profen.. profnid.. and voltarine injections.. I only have migraine since 34 years

إطرح سؤالك

الرد من العميل

Should I wait for reply..?

إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

Dear Customer
Welcome, and thank you for trusting us

 

what is the treatment of back pain caused by disc herniation

  1. conservative management as in rest , take some analgesia if it is not responded to regular analgesia as brufen or baclophen there is the selective cox family like arcoxia and celebrix
  2. also muscle relaxant is good combination with analgesia with physiotherapy and back muscles excersice for good support for your spine
  3. recounstruvtive injection into intervertebral disc in case of disc herniation , but before you take it tell the doctor that you are diabetic so he reduce the steroid dose in it
  4. last resort is surgery as if there is no improvement of the previous methods


what are the associated symptoms with disc herniation


  1. tingling sensation of lower limp
  2. unable to control urin or stool
  3. weakness in the lower limp
  4. numbness over the skin at areas of lower limp

 

what are the tests used to diagnose the cause ofdisc herniation

  1. clinical exam
  2. lumbar spine MRI 
  3. electromyography

I hope my answer was helpful, please let me know if you have any follow up questions. If you feel I've answered your question already, please rate my answer from top of the page. Your feedback helps to ensure only the best experts are available to help you.

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Kind Regards

الرد من العميل

You didn't answer my question at all.. it seems you didn't even read what I wrote..

الرد من العميل

My question was very clear up.. I have a disk 1.22 cm and I used all pain killers and still in severe pain.. do I need an operation...??

الرد من العميل

This is my question.. please read and understand before just give me a reply from some magazine..!!

إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

 

dear customer
pardon me for my unclear answer
according to your medical history and what you took from pain killers and drugs
that your pain is uncotrolled with them
so before we shift into surgery
we should try a modality less invasive than the operation 
as reconstruvtive injection of steroids
because surgery got many complication especially with your herniated 1.22 cm disc 
and if we could control the symptoms by a less invasive method it is better for your health
if it wont be controlled by this modality then surgery would be considered as the last resort
accept my sincer apology
regards

الرد من العميل

Thank you so much now..But how I can get steroids and where to take them and when and for how long..?

إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

no no
you will not take them as drug pills
it is a gell of reconstructive material on of its material is steroids
injected directly to the disc
and this procedure done by a neurosurgeon doctor
regards

الرد من العميل

I see.. thank you again.. you were very helpful

إجابة الخبير: Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

please let us know if you have any follow up questions.
kind regards

إسأل Licensed Physician

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

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