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Back pain and disc dehydration

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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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replied 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.


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