I have a bone spur, dengenerative disc on c4 c5- what is the best thing to do?
i am a chiropractor and specialize in spine related injuries. the disc acts as both a cushion and a spacer between each vertebrae. if a disc is bulging/herniated, that bulge can put pressure on the nerves exiting between each vertebra which causes a "pinched nerve." also if the disc is wearing out (getting thinner) you lose the space between the vertebra, which leaves less room for those nerves to exit--and again can pinch a nerve. the nerves in your cervical spine (neck) go all the way down your arm while the nerves in your lumbar spine (low back) form the sciatic nerve which runs all the way down your leg. if any of these are "pinched" they can cause pain, numbess, tingling, weakness wherever these nerves go (down arms/legs).
as a chiropractor i see this type of scenario on a daily basis. for those who have degenerative disc disease, disc herniation, disc bulging, etc.--normal chiropractic care can usually help with those problems. but there are also many people out there that have had this problem for many years and can't find relief with anything they try--including chiropractic.
but now there is a treatment that is perfect for your situation and the best part is: it's non-surgical and non-invasive. if you haven't heard of it yet it is called spinal decompression. this type of treatment focuses on disc injuries and the problems they cause. i use the DRX9000 spinal decompression system in my office and it works wonders for people with these types of injuries (approx. 90% successful). the DRX9000 is fda approved and is the best decompression system available (there are cheap knock-offs that don't give the same results).
my recommendation would be to see a chiro, especially if you've never tried it before-just to see what they have to say. also do some research on this treatment and then contact someone (usually a chiro) who uses it in their office. i would just google "DRX9000" to find info on it and doctors in your area who may have it. this treament is able to encourage the disc to go back to it's normal orientation and also rebuild its height--which then takes the pressure off whatever nerve it is compressing. pain meds, cortisone shots, epidurals won't do anything to solve the problem--all they do is cover it up and they become less and less effective over time. surgery AT BEST is 50% successful and usually doesn't solve the problem since most people need another surgery 5-10 years down the road for the same issue. it's typically a viscious cycle. remember: surgery is always an option, so try something prior to surgery to see if you can avoid it--cause once you do the surgery there is no going back.
this treatment is extremely effective for degenerative disc disease, disc bulging, herniation, etc. and also sciatica type of cases, especially if you haven't had surgery yet. i've had many patients who were scheduled for surgery, tried this treatment as a last resort, and then ended up cancelling their surgery altogether after treatment was completed. it really does work and that's what my recommendation would be for you. good luck and hopefully this gives insight to others experiencing similar problems--there is a solution!
Addition: SirRob needs to wake up, realize it's the 21st century, and quit pretending we're practicing healthcare in the 1950's. people like him are the reason why our healthcare system is such a mess. the fact he says everyone who is over 30 has bone spurs, etc. in the spine is the funniest thing i've heard in awhile. spinal degeneration is inevitible but at 30 years old? not a chance. try 50-60 years old. sure some people at 30 do have this but it's almost always because they have had some sort of injury or special circumstance. he should get some education before he starts opening his mouth and trying to give advice to people that have real problems. what are his sources/credentials again? oh, yeah... that's what i thought.
Response: just brilliant cptpdsd. if you actually read what i wrote above you may understand what i'm getting at. i stated that yes DDD can start early on but with some sort of circumstance. someone who has a normal lordotic cervical curve simply won't develop degeneration when they are 30--more likely 50-60. BUT someone who has a whiplash type of injury or any type of abnormal cervical curve will be subject to this as early as there teen years. so with there being many in the population with these circumstances this is why you see DDD prevalent at 40, 30, or even teens. again, because they have a circumstance that causes early wear and tear on the cervical spine. but you won't see it in the people who have normal curves at these ages.
i just get sick of pt's--they think they know everything, pretend their doctors and give doctor's advice, think they can manually 'manipulate' (it's an adjustment you retards) patients, all that with a fricken pt degree--oh sorry a pt "doctorate". they should just realize all they are is a therapy--the md's puppet, just like prescribing a drug the md prescribes pt. the real doctors should be giving out the advice--not the puppets that weren't smart enough to get into the schools that would grant them an education to be in that position. stick to rehabilitating that patient as your boss instructed you. welcome to being a pt in the 21st century.
The best thing to do is to go see a chiropractor and a massage therapist. pain medicine only covers the pain it doesnt help with the cause of it.I have been a massage therapist in a chiropractors office for quite some time now and have seen people with similar problems and we have helped a good majority of them
While the above answer is a great chiropractic marketing response, I'd wonder if you have any radiating arm or shoulder pain associated with your spondylosis/deneneration. EVERYONE over 30 has bone spurs/osteophytes and disc dessication/degeneration.
It usually causes stiffness, especially in the morning. If the bone spur is causing any neural compression of the nerve root or thecal sac of the cord itself you will usually have extremity pain or numbness.
I have seen neural injuries with spinal manipulation from a bone spur that was thrusted into the nerve. If you have a true neurological deficit, avoid spinal manipulation and see a medical or surgical physician for evaluation and treatment.
By the way, the nerves that come from the C4-5 level refer symptoms into the shoulder and upper back area.
well its hard to know what you are asking here--you must know by now they have all kinds of procedures they can do to you--if it is really painful you might consider one--or just PT yoga-relaxation-exercise-good body weight. My mom has the same thing they wanted to whip her right into surgery--she went on another direction--PT-massage--after a while it hardly bothered her at all.
Be careful what you wish for "doc" (moist1). Here's the research:
Cervical disc degeneration begins as early as high school years. By mid 20's about 15% of people WITHOUT symptoms have at least one degenerating cervical disc. It continues to progress linearly with age. In fact, it has been found that:
"The disc was degenerated or narrowed at one level or more in 25 per cent of the subjects who were less than forty years old and in almost 60 per cent of those who were older than forty."
Yet, again, this was in people WITHOUT symptoms. Furthermore, other studies have concluded that between degeneration, bone spurs, annular tears, and disc herniation, that disc herniation was the only factor positively correlated with clinical symptoms.
That's not to say that disc degeneration can't cause pain, but that the presence of a degenerative disc does not imply symptoms. In fact, about 80-90% of adults have very significant disc degeneration after the age of 60...and not every adult has neck or back pain.
So, to say the least to answer the question above, I would
A: Try conservative managment first: this can include physical therapy, anti-inflammatories (as directed by your doctor), change in exercise and diet, and yes, even spinal decompression or chiroptactic care.
B: If those measures fail, further testing may be warranted to rule out a disc herniation (an MRI if not already done)
C: If disc herniation is found, return to PT as treatment for these conditions is different.
D: If significant pain and especially if upper extremeties are present and persist after all conservative measures have been addressed, it may be time for a neurosurgical consult.
Welcome to the 21st century, doc.
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