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

Answered by
Dr. Atul Prakash
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 28, 2020

Consistent lower back and neck pains. yes, I've been diagnosed with having a cervical disc herniation since 20 years and a lumbar disc herniation since 12 years. An L2 Nerve block procedure was performed in 11 years back. The last MRI I did was 3 years back.

Dr. Atul Prakash

Fitness Expert Orthopedics And Traumatology Physiotherapy Spine Health
#

Hello

Yes the MRI does talk about the disc bulges both in the neck and the back but it is now clear as to the degree of nerve root compromise as canal encroachment as this will determine the degree of symptoms and likelyhood of conservative management succeeding. I really need to see the MRI films to comment

The obvious thing is that the MRI was done 3 years back, so the relevance is doubtful if you are having new symptoms and with passage of time the MRI picture may change.

I will recommend that you two a course of Duloxetene 30 mg twice daily and added pregabalin 75 mg twice daily to see the response and do take them for atleast 6 weeks, mind you pregabalin makes you sleepy but that will fade with time


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