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Please help me get rid of constant lower back and neck pain.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have consistent lower back and neck pain. I have been diagnosed with cervical disc herniation before 20 years and lumbar disc herniation before 12 years. An L2 nerve block procedure was done before 11 years. I did my MRI before three years.

Answered by Dr. Atul Prakash

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

MRI (magnetic resonance imaging) can show disc bulges present in both the neck and back. The degree of nerve root compromise will determine the degree of symptoms and taking conservative management helps a lot. I need to see your MRI. As your MRI was taken before three years, new changes are observed on the recent MRI and you need to take it. I suggest you take a course of Duloxetine 30 mg twice daily and take Pregabalin 75 mg twice daily for six weeks and see the improvement.

Medically reviewed by Dr. Sneha Kannan
Published At May 28, 2020
Reviewed At December 22, 2023

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Dr. Atul Prakash

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

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