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l5 disk bulge
9/26 8:46:51

Question
Dear Sir,
I am suffering from Scitica pain. From the Date of 15-May-2009. from MRI scan it has been found that I have l5-s1 disc bulging and narrowing of canal which might be causing compression of nerve root. and Degenerative Changes in   L4.L5. Disk.
This is mainly due to lifting of very heavy load without proper balance. The bulging of l5-s1 disc  probably causing the compression of nerve root. I do not have any back pain. Only lower hip, thigh muscles (back side) and cup muscle (back side) have muscular pain (hamstring type). I have taken One Injection in my Spinal Cord 2 Months back. & kativasti Oil Massage in Ayurveda treatment.  I have taken bed rest of about one to Two month.That time My Pain is 60% Reduced. But still I am suffering from pain at the lower hip down to back thigh muscles and leg cup muscles (back side of the leg). That is Rarely sitting time
However, hamstring type muscle pain still continues.
Please suggest some homeopathic medicine and exercise/yoga/naturalmedicine.
I will be grateful to you. My Life is becoming miserable
due to this sciatica pain. I cannot walk much or stand for longer time.
Thanking you.
Sincerely yours,
G.srinivas.

Answer
Disk Bulge, Disk Herniation, Low Back Pain, Disc Bulge, Disc Herniation, Staten Island Disc Bulge, Staten Island Disc Herniation, Staten Island Low Back Pain, Staten Island Chiropractic, sciatica, pinched nerve, pinched sciatic nerve, Staten Island sciatica, Staten Island Pinched Nerve,





Hello Srinivas,


I am sorry to hear of your low back pain.  My Staten Island Chiropractic office handles many patients with low back pain, with and without Sciatica ( pinched sciatic nerve ).

"....I am suffering from Scitica pain.....", Sciatica is an irritated Sciatic Nerve.  We have a Sciatic nerve for our right and left legs, hence two sciatic nerves.  The sciatic nerve can be as thick as your thumb, with nerve fibers, fatty sheaths, supportive tissue.
             "Sciatica"- as you will read later, is only 1/2 of a diagnosis.  Many things could be the CAUSE of your sciatica.  Are you diabetic?, do you take any injections into your buttocks??- it is actually possible to 'nick' your sciatic nerve with a needle if you take injections.  Have you played sports, had trauma to your gluteal region- get a 'kick in the butt'?- you could have bruised your sciatic nerve.  Xrays, CT, MR scans are good to evaluate for cancers, tumors, dislocations, fractures, disc bulges, disc herniations which can irritate the sciatic nerve and cause the 'pinched nerve' = Sciatica.

The Sciatic nerve supplies your buttocks, leg, thigh, knee, calf, ankle, foot, toes.  You could have pain throughout the entire course of the Sciatic nerve, or any portion of the nerve.

"....from MRI scan it has been found that I have l5-s1 disc bulging and narrowing of canal which might be causing compression of nerve root. and Degenerative Changes in   L4.L5. Disk....."-
L5- S1 Disc Bulging is a common finding  the Doctor of Chiropractic's office; narrowing of the canal- ditto, common; might be causing compression of the nerve= now you are getting to a CAUSE of the problem; DJD/ DDD/ Degenerative changes = again a common finding in the Chiropractic office.

"....I do not have any back pain. Only lower hip, thigh muscles (back side) and cup muscle (back side) have muscular pain (hamstring type).....", a common symptom picture.

"....I have taken One Injection in my Spinal Cord 2 Months back. & kativasti Oil Massage in Ayurveda treatment.  I have taken bed rest of about one to Two month.That time My Pain is 60% Reduced.....", from my perspective, these approaches are SYMPTOMATIC treatment, not getting to the ROOT CAUSE of the problem.

You have pain, I give this information to my Staten Island Pain patients:



PAIN           

Pain  is a  憆ed light on the dashboard?

Pain is your body telling you that something is wrong.

That RED LIGHT on the dashboard of your car-
-- do you ignore it until the car breaks down,
or do you get it checked and correct the problem?  

Pain,
pain in your body-
-- do you ignore it until your body breaks down,
or do you get it checked and correct the problem?   

Pain,  
do you cover up the pain by taking a painkiller?  
Take a painkiller,
mask the pain,
and allow a problem to progress in your body?


        NOTICE  ON  PAIN  RELIEVERS:
 
Label changes ORDERED by FDA;  the FDA announced proposed label changes for OTC over-the-counter pain relievers to  include the potential for stomach bleeding and liver damage (FDA news  206- 207;  12-9-06) ;

The  American Heart Association issued a scientific statement   recommending medical doctors change the way they prescribe OTC pain relievers from a first choice    to an alternate of recommending non-pharmacologic treatment (AHA statement  2-26-07).

NSAID Acceleration of ARTHRITIS; an important side effect of Aspirin and other NSAIDS is that it will inhibit cartilage repair and accelerate cartilage  destruction ( Journal of Rheumatology, 1982; 9: 3- 5 ).   Many times people take NSAIDS  for  the pain of Arthritis,  not realizing these drugs may make the underlying condition worse.   These medications  cover  up  the  pain,  and  cause  the  problem  to   worsen.



Pain  can  often  be  the  result  of  the  Vertebral  Subluxation  Complex.



Vertebral  Subluxation           (  慥SC?,    憇ubluxation?  )
Vertebral Subluxation  is  actually  a  quite  common  condition.   Doctors of Chiropractic look for pathological conditions which may require referral to other specialties,   and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system  (the master control system- ALL health disciplines learn this).  VSC- 慡ubluxation??can be the cause of many symptoms and conditions.



Only  a  Doctor of Chiropractic  will  evaluate  and  treat  for  VSC,   as  well  as  other  pathology.


The course of VSC is highly variable.   Some patients with VSC literally cannot walk, yet other patients with similar test findings may be able to run marathons or lift heavy weights.    Some patients immediately develop symptoms related to the VSC,  some patients take years to develop symptoms.  Some people suffer for only a few days with pain and symptoms, some people suffer for months.  Some people recover in days, some take months or years, depending upon severity of the condition.

A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.


The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.  When subluxated, joints are in a stressed, vulnerable, compromised condition.  Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.
       Vertebral  Subluxation   cannot   be corrected through chemicals (medicine), stretching,  yoga,  vitamins  or  physical  therapy  alone.       Subluxation- a neuro/skeletal/muscular-    mechanical-    problem  requires  a    mechanical correction-  -  -    a manipulation,         best  performed  with  the  chiropractic  adjustment.

Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomate, American Chiropractic Board of Sport Physicians; Diplomate, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine


You can see from the above, that even in Medical Circles, there is a lot of concern over pharmaceutical approaches to pain.



My Staten Island Sciatica patients also get this information:


揝ciatica?  

( Also Known As-   neuritis,  neuralgia,  sciatic-radiculitis   ) (pain down the leg, with or without back pain)   

Sciatica can be caused by many different things.  

Big, BAD, catastrophic things like a tumor or a cancer can cause
Sciatica (only a proper exam by a licensed doctor, like your Doctor of Chiropractic, or your family Doctor of Medicine, can evaluate
your signs and symptoms, and perhaps refer for testing).

Big, bad things like a Herniated Disc, sciatica, possible fracture or dislocation can cause Sciatica (again, best evaluated by your DC or MD, and perhaps referral).  

Bad things, like  - Sprains, Strains, contusion, or Vertebral Subluxation Complex (all very efficiently diagnosed and treated by your Doctor Of Chiropractic.  

Sciatica can come from a motor vehicle accident, sport injury, slip, trip, fall, arthritis, lifting improperly, or even bad posture in standing, sitting or sleeping.  All of these things often have a Lumbar (Low Back) Vertebral Subluxation involved. Sometimes  we  can  wake  up  with  憇ciatica?  .... sometimes a slip, trip, fall, heavy lift, or even a motor vehicle accident can cause a 憇ciatica?  Frequently-  the true    c a u s e   of  the 憇ciatica?  = pain in the lower back, buttock(s), thigh, calf and/or foot (even to toes);  is a misalignment,  a  慿ink?in the back- more properly termed a Vertebral Subluxation. 摂Sciatica敂  is only  1/2  a diagnosis  ....   what is   causing   the sciatica?


              Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?

The vertebral subluxation complex is often the underlying cause of sciatica and many healthcare problems.  A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.



This   (subluxation)  is a serious condition identified by its five parts:

    Spinal Kinesiopathology:
         This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.

    Neuropathophysiology:
         Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.

    Myopathology:
          Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.

    Histopathology:
         A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.

    Pathophysiology:
         The VSC contributes to OsteoArthritic degeneration. Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.



The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.
         Automobile accidents, improper lifting, improper posture, alcohol, emotional stress, chemical imbalances, and long periods of sitting can cause the Vertebral Subluxation Complex.
          Vertebral  Subluxation  cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone.  Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction-  -  -    a manipulation,     best performed with the chiropractic adjustment.  For good health- Treat the   Cause,  not just the Symptoms.



Your Sciatic pain is a subset of a 'pinched nerve'.  This handout, that I give my Staten Island 'pinched nerve' patients, includes recommendations on nutritional supplements:



揚inched  Nerve?  ( Also Known As-  neuritis, neuralgia, brachial-neuritis, sciatica )

損inched nerve??is only ?a diagnosis,  WHAT is causing the 憄inch? Your Doctor of Chiropractic will examine and evaluate you to make sure you are not showing signs of neurological damage or disease, tumors, cancers,  severe pathology, perhaps a Herniated Disc, or a Vertebral Subluxation Complex.

Sometimes  we  can  wake  up  with  a  憄inched nerve?  or  a  muscle spasm.... sometimes a slip, trip, fall, heavy lift, or even a motor vehicle accident can cause a 憄inched nerve?  Very often -  the true    c a u s e   of  the pinched nerve, painor numbness  in the:    neck and/ or  shoulder  and/ or  arm  and/ or  hand;   pain in the back and/ or   buttock/ hip/ leg/ knee/ foot -  is a misalignment,  a  慿ink?in the neck or back - more properly termed a Vertebral Subluxation.

              Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?
The vertebral subluxation complex is the underlying cause of many healthcare problems.
A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.


This is a serious condition identified by its five parts:
      Spinal Kinesiopathology:
         This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.
      Neuropathophysiology:
         Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.
      Myopathology:
          Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.
      Histopathology:
         A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.
      Pathophysiology:
         The VSC contributes to OsteoArthritic degeneration.  Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.


The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.
         Automobile accidents, improper lifting, improper posture, alcohol, emotional stress, chemical imbalances, and long periods of sitting can cause the Vertebral Subluxation Complex.
          Vertebral  Subluxation  cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone.  Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction-  -  -    a manipulation,     best performed with the chiropractic adjustment.    For good health-
Treat   the   Cause,  not just the Symptoms.


揚inched  Nerve?  ( Also Known As-  neuritis, neuralgia, brachial-neuritis, sciatica )
損inched nerve??is only ?a diagnosis,  WHAT is causing the 憄inch? ?That 損inch?has to be taken care of FIRST!

As the 損inch??the MECHANICAL component of the problem, the CAUSE of the problem is being taken care of  through Chiropractic treatment,   perhaps additional help would speed your return to health:

Nerve Health Support:
-----B complex containing thiamine, folic acid, B-12 and niacin is highly suggested for nerve support.  High dose
B-vitamins should only be taken at the advice of a licensed healthcare professional.
-----B-6 is lower in patients with neuropathy.  Vitamin B-6 reduces the glycosylation that can cause nerve damage.  Amounts greater than 200mg/day can cause neuropathy symptoms.
-----Calcium and magnesium are important for nerve conduction and as muscle relaxants.
-----A multi-vitamin/mineral supplement is suggested for comprehensive support.
-----Essential fatty acids are necessary for nerve health.  Essential fatty acids include omega-3 fatty acids (fish and flax oil) and omega-6 fatty acids (black currant seed oil, borage oil and evening primrose oil).
-----Proteolytic enzymes may be beneficial in neuritis for the inflammation.
-----Lecithin aids in nerve support.
-----Natural herbal remedies including passion flower, valerian, chamomile, scullcap and white willow bark may be helpful.
-----Eat a healthy diet.  Avoid foods that stimulate the nervous system such as caffeine, chocolate, refined sugars, soda pop and cigarettes.
-----Drink plenty of filtered water.
-----Chiropractic care is imperative to remove nerve irritation.
Joint Support:
-----Glucosamine sulfate helps strengthen joint integrity.  Glucosamine is effective in relieving joint pain associated with osteoarthritis.  Glucosamine's pain-relieving effects may be due to its cartilage-rebuilding properties.  These disease-modifying effects are not seen with simple analgesics and are of particular benefit.
-----MSM is known for its pain-relieving properties in such conditions as fibromyalgia, osteoarthritis, bursitis, tendonitis, back pain and muscle soreness.  Not many clinical trials have been done using MSM, but clinical observations support the theory that MSM is beneficial in pain managment.
-----White willow is an antiinflammatory and analgesic agent.  White willow was used as far back as the Middle Ages to reduce pain and fevers.  The salicylates found in the white willow bark are responsible for the anti-inflammatory and anti-fever effects.  Acetylsalicylic acid, otherwise known as aspirin, is chemically similar to the salicylates.
-----Boswellia and turmeric (curcumin) are potent antiinflammatory herbs.  Curcumin may have similar action to aspirin.


Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomate, American Chiropractic Board of Sport Physicians; Diplomate, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine





"....Please suggest some homeopathic medicine and exercise/yoga/naturalmedicine....."
I highly recommend visiting your local Doctor of Chiropractic, this type of complaint is common in the Chiropractic Doctor's office, and chiropractic is a safe, effective, cost effective treatment for the condition presented here.  There are different types of Chiropractic Specialties, just as there are different medical specialties, see:  http://www.acatoday.org/pdf/ApprovedChiropracticSpecialtyPrograms.pdf
       You may find a particular specialty that seems most appropriate to you.

Homeopathic medicine?- I would suggest an Homeopathic ointment to be placed upon your lower back, along the Sciatic nerve course: Traumeel http://www.amazon.com/Traumeel-Ointment-100-Gm-Tube/dp/B0006MQ47A   or  http://ezinearticles.com/?Traumeel-Ointment-Review&id=2369366

Yoga?- see your local center.  The stretching/ exercise would probably be somewhat helpful- properly done under expert guidance.

Natural Medicine?- see you local Doctor of Chiropractic, see above for nutritional supplements.



I do hope this information helps you.


If you need further information, please do not hesitate to re-contact me here at
AllExperts.com
http://allexperts.com/ep/965-100794/Chiropractors/Victor-Dolan-DC-DACBSP.htm

Thank you for the question. good luck in returning to full, Good Health!

Your Staten Island Chiropractic Expert,

Dr. Victor Dolan, DC
Email newsletter: . . . . http://drvictordolan.chiroweb.com  

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