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Conditions and Diseases > Back Pain Forum > Back pain and disc dehydration
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Q: Back pain and disc dehydration
asked by: DoctorQuestion on July 2nd, 2009
I have moderate disc dehydration at L1-L2 & L5-S1. There is Osteochrondral indentation of the superior end plate of L3 and to a lesser extent L5, might be Schmorl's nodes. And a 8 x 4mm cystic adjacent to the ventral surface of the thecal sac right of the midline at L5, likely an Arachnoid Cyst.

I go to see a neurologist tomorrow for further prognosis. But my question is now, which ill discuss with the neurologist will be is pain management
going to be part of the treatment. Im in unbearable pain, only thing ive been given my clinical primary M.D. is muscle-relaxers prior to the MRI that discovered the mass and other issues. When I saw her yesterday she didnt write a prescription for actual pain relief, she said to wait till I saw the neurologist. Im figuring after an assesment of my condition he'll write me something that will actually deal with pain im in, the muscle-relaxers are doing NOTHING to relieve the condition. So im asking anyone with experience somehow with this condition


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Dr. Peter Hill , MD
replied on July 6th, 2009
Back Pain Answer A6906

Disc dehydration is a condition which occurs more often in elderly people. The disc changes its size and shape and is no longer stabile enough to provide the needed support to the spine. Therefore, it shifts its place which might lead to putting pressure on the nerves that leave the spine in the vicinity.


Often, the sciatic nerve is affected which might cause immense pain.
Pain management includes different approaches, such as: use of analgesics (NSAIDs and opioid narcotics) and pain modifiers (tricyclic antidepressants or anticonvulsants). Application of heat or cold might be helpful. Physical therapy might be very beneficial, too.


You might want to visit a neurologist to check if the pain is really caused by a pinched nerve or something else is causing it.




DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals who volunteer their time on eHealth Forum. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Back Pain , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.
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DoctorQuestion
replied on July 8th, 2009
Spinal Cyst Severe Pain Disc Disease
Yes doctor, my Neurologist concurred with my primary physician that it is disc dehydration. Also what I was also concerned about is the cyst in my spine I originally reported, after seeing my neurologist I found out I have two. Also the herniated interverbral disc in my spine. The doctor is giving me what he can, because he said he has to follow protocol, but he knows i'm in severe pain and agreed to slowing bump me to stronger pain meds. He said if I could just hold out that he would make sure he could get me the medicine I need, whatever that is, I believe he wants to give me strong opiates, but i'm afraid of how strong. Because I want to be able to function. I'm a Pharmacy Technician student who needs to be able to do the required work without either being in severe pain, or doped up. What do you think i'm going to get, because my pain from 1-10 is 10, and if i'm not going to be able to fulfill my dream of working in the medical field its going to crush me doctor. Well thank you for your time, and please be real with me because i'm worried what my quality of life is going to be like...
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Dr. Peter Hill , MD
replied on July 15th, 2009
Consider trying Chiropractic. It is a conservative method to treat your pain.


DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals who volunteer their time on eHealth Forum. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Back Pain , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.
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