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This question was answered on Tue 22, Jul 2008 11:25pm by Dr Paul S, MD
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bulging disc from c7 and up; nerve root pinched at c4/c5



    
Asked by Unregistered (Female; 37 ) on Tue 22, Jul 2008 10:05pm

I have had 4 mri's, an emg, 3 cortisone shots, and a myelogram...as well as 3 nerve root block injections...they have identified bulging discs from c7 and up...the the nerve root block isolated the potential pinched nerve at c4/c5....i have been dealing with pain since december which consists of back pain between the shoulder blades, radiating pain through the right shoulder and down the arm, numbness and tingling in the right hand, as well as loss of strength in the right arm from pain...my question is what is the next best course of action...

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Answer by Dr Paul S, MD (doctor) on Tue 22, Jul 2008 11:25pm:

Hi there. From what you have described, it seems that you and your doctors are near the maximum in terms of non-operative or non-surgical interventions, and still pain and neurologic symptoms remain. For severe conditions and symptoms such as yours, a surgical intervention may be considered, though it is strongly recommended that this should be discussed well with the spine surgeon to know and understand the risks and benefits involved. Other forms of non-operative intervention would include physical therapy and use of more potent pain medications such as opioids. Regards and God bless.
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