Bulging disc common, unlikely to be problematic

Bulging is ok. Herniated is bad.

Yep...key is to rest and rehab it until it isn't bulging and doesn't herniate obviously. Aikman, Haley and now JJ Watt can tell you it's a nasty injury. If he's out 6 weeks or more I say do it. Hell, if he's out the rest of the year: DO it. Green has been serviceable and getting better and it just isn't worth it to risk this guy's career. He's pretty special, especially for his age.
 
I would sit smith out until after the bye week to make sure he has no setbacks.

Yep. As I said below, sit him as long as it takes to be 100% and nothing less. He's too important and frankly, this isn't a team that can compete for a Super Bowl this year anyway. Just not worth it.
 
Turmeric is no better than placebo, and kratom is dangerous, due to opiare-like effects. It has not gone through any double-blind placebo-controlled trials in order to prove both safety and efficacy, and I would not recommend using it.

OTOH, prescription drugs have undergone exhaustive trials, and therefore all such risks are well defined and transparent. Any unregulated substance distributor has no incentive to invest in R&D, and is marketed with conflict of interest.

Topomax=Dopomax. Nice for weight loss though....and phosphate based renal calculi.
 
Topomax=Dopomax. Nice for weight loss though....and phosphate based renal calculi.

Ok, so you've tried Topamax as a migraine prevention agent. At a low dose of 25-50mg taken at bedtime, it has proven effective for thousands of migraine sufferers without any side effects. It's also a proven med to alleviate menopausal dysautonomia (hot flashes). It is not addictive or a narcotic.

The danger in promoting useless and or unproven agents for medical therapy is that others may take your advise and suffer dire consequences or simply avoid medical therapy that may be lifesaving.

The liability for giving false, misleading, or incorrect medical advice is substantial. A physician takes those risks every day with science-based peer-reviewed evidence that would stand up to scrutiny in court.

There are many other acute and prophylactic migraine treatments available.
 
Turmeric is no better than placebo, and kratom is dangerous, due to opiare-like effects. It has not gone through any double-blind placebo-controlled trials in order to prove both safety and efficacy, and I would not recommend using it.

OTOH, prescription drugs have undergone exhaustive trials, and therefore all such risks are well defined and transparent. Any unregulated substance distributor has no incentive to invest in R&D, and is marketed with conflict of interest.

Youre response is both expected and disappointing. Clearly youve never suffered from migraines. You can not placebo your way through them. According to my neurologist the disc in my neck triggers the muscle spasms which then lead to 2 day long migraines. Tumeric is a well-documented anti inflammatory. I assume that is the mechanism that is providing me relief. As far as Kratom goes I will admit anything that acts upon opiate receptors has abuse potential. However it is far less addictive than tramadol, or oxy or whatever crap you would rather prescribe. If Im not mistaken prescription narcotics have now surpassed trauma as the leading cause of death in young adults. So where did those "exhaustive" studies get you? You dont have to be an addict to have chronic pain and become dependent on narcotics. Unlike prescription narcotics Kratom is not a respiratory depressant and is almost impossible to overdose due to the GI system not tolerating larger doses resulting in vomiting. I will conceed as with any ethnobotanical you need to do your research and buy a quality product from a trusted vendor.

People like you that dont bother to do the research or look outside of the norm continue to perpetuate a lack of self sufficeny among your patients. This is why we take blood pressure and cholesterol medicine instead of exercising and eating healthy. A script is all too easy to write and people are all too willing to take short cuts.

Dont get me wrong I believe in medicine and as a medic Ive dosed people with everything from Epi to Narcan and seen the drugs save thier lives. But that doesn't in any way make me believe we are not being over prescribed and under treated, chronically masking symptoms rather than attacking the cause.
 
A bulging disc is usually not a sign of pathology; it just may be the only anatomical variant seen on an MRI, so it is mentioned in the report.

It is never going to "unbulge", so it it were the cause of any spinal pathology, those symptoms would never resolve.

Most back spasms occur due to an imbalanced load and/or a mismatch between anterior and posterior strength and flexibility.

Tyron will be fine with rest and a modified workout routine.

sorry, Im not buying it.
 
Ok, so you've tried Topamax as a migraine prevention agent. At a low dose of 25-50mg taken at bedtime, it has proven effective for thousands of migraine sufferers without any side effects. It's also a proven med to alleviate menopausal dysautonomia (hot flashes). It is not addictive or a narcotic.

The danger in promoting useless and or unproven agents for medical therapy is that others may take your advise and suffer dire consequences or simply avoid medical therapy that may be lifesaving.

The liability for giving false, misleading, or incorrect medical advice is substantial. A physician takes those risks every day with science-based peer-reviewed evidence that would stand up to scrutiny in court.

There are many other acute and prophylactic migraine treatments available.

I understand your logic when it comes to unsubstantiated advice. But its a joke to state something like that when the alternative is typically prescription pain meds. Yes the risks are stated but that doesnt make them any less dangerous. If people actually paid attention to those risks no one would bother with the meds. I should have provided more information though before posting. But having lived on both sides of the issue my experience has proven to me the alternative route is more functional and better overall for my health. The reason Im 40 and a career fireman that has had his body abused by the job but can still run an 8 minute mile and bounce out of bed in the morning with out pain from my broken back and bulging disc is because I went against your course of action.
 
Ok, so you've tried Topamax as a migraine prevention agent. At a low dose of 25-50mg taken at bedtime, it has proven effective for thousands of migraine sufferers without any side effects. It's also a proven med to alleviate menopausal dysautonomia (hot flashes). It is not addictive or a narcotic.

The danger in promoting useless and or unproven agents for medical therapy is that others may take your advise and suffer dire consequences or simply avoid medical therapy that may be lifesaving.

The liability for giving false, misleading, or incorrect medical advice is substantial. A physician takes those risks every day with science-based peer-reviewed evidence that would stand up to scrutiny in court.

There are many other acute and prophylactic migraine treatments available.

Point is the standard medical treatments don't work for everyone, in particular the poor person who suffers debilitating idiosyncratic side effects that aren't listed in the literature. Its no wonder such people turn to "alternative treatments," as the suffering doesn't abate. You are right that it may be unethical for trained physicians to promote them, but if they work for a particular patient, what else are they supposed to do?
 
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Point is the standard medical treatments don't work for everyone, in particular the poor person who suffers debilitating idiosyncratic side effects that aren't listed in the literature. Its no wonder such people turn to "alternative treatments," as the suffering doesn't abate. You are right that it may be unethical for trained physicians to promote them, but if they work for a particular patient, what else are they supposed to do?

Exactly. Im living proof, and the non-narcotic migraine meds made me feel like my head was going to explode. I was not comfortable with that at all.
 
I understand your logic when it comes to unsubstantiated advice. But its a joke to state something like that when the alternative is typically prescription pain meds. Yes the risks are stated but that doesnt make them any less dangerous. If people actually paid attention to those risks no one would bother with the meds. I should have provided more information though before posting. But having lived on both sides of the issue my experience has proven to me the alternative route is more functional and better overall for my health. The reason Im 40 and a career fireman that has had his body abused by the job but can still run an 8 minute mile and bounce out of bed in the morning with out pain from my broken back and bulging disc is because I went against your course of action.

I haven't prescribed any course of action.

I've simply cautioned readers to know all the potential risks and benefits (due diligence) before making a decision. If the appropriate studies haven't been done, there's no way to know that.

BTW, your intermittent back pain should not require narcotics, and is probably caused by other anatomical and physiological factors (as noted above), rather than a bulging disc.

Studies on the presence of this phenomenon indicate a prevalence of 50-75% of the normal asymptomatic population.
 
Yep...key is to rest and rehab it until it isn't bulging and doesn't herniate obviously. Aikman, Haley and now JJ Watt can tell you it's a nasty injury. If he's out 6 weeks or more I say do it. Hell, if he's out the rest of the year: DO it. Green has been serviceable and getting better and it just isn't worth it to risk this guy's career. He's pretty special, especially for his age.

Bulging discs don't take six weeks to calm down. Usually, they only take a few days.
 
Point is the standard medical treatments don't work for everyone, in particular the poor person who suffers debilitating idiosyncratic side effects that aren't listed in the literature. Its no wonder such people turn to "alternative treatments," as the suffering doesn't abate. You are right that it may be unethical for trained physicians to promote them, but if they work for a particular patient, what else are they supposed to do?

Give me an example of an Rx med with side effects not listed in the literature. The whole point of thoroughly testing and continued monitoring of these medications is to to have exhaustive data on their use.

If research answers one question, it usually poses several more. For example, if a few random cases of anaphylaxis are reported nationwide from a particular Rx drug, that occurance is then studied in order to understand all possible contributing factors. That type of data is cumulative for every med.

Even if I recommend an non-Rx drug, it is with a full understanding of all studies that have been done, and with sufficient knowledge that benefits far outweigh risks. That's how we lead our lives every day, right? Do you choose the highway when risks of serious injury and death are many times greater that that from medications? Sure you do, because you have accepted those risks in order to save time.

As always, I wish everyone the best of luck in their healthcare endeavors. I would just caution that all risks are difficult to know, and seeking the advice of a trained expert (instead of marketers) would always be prudent.

BTW, I've been in this industry since 1971, and this is no big govt. or big pharmacy conspiracy.
 
True but at the same time it amazes me that 75 percent of these guys dont have them. They lift ungodly amounts of weight and run 4.5 speed into other mac trucks. If I didn't know any better Id just have to believe they have pretty excellent regiments and are able to heal up and move forward. If Im not mistaken some bulging disc heal completely and some dont. This will have to be managed closely.

Actually, I bet if they had MRI's done, there would be well over 50% with them and probably somewhere in the 65% range.
 
I haven't prescribed any course of action.

I've simply cautioned readers to know all the potential risks and benefits (due diligence) before making a decision. If the appropriate studies haven't been done, there's no way to know that.

BTW, your intermittent back pain should not require narcotics, and is probably caused by other anatomical and physiological factors (as noted above), rather than a bulging disc.

Studies on the presence of this phenomenon indicate a prevalence of 50-75% of the normal asymptomatic population.

What youve done is ignored the studies that do support Tumeric as a powerful anti inflammatory. Ive been to the pcp and the specialist, done all the test including MRIs and Scans and so on and was diagnosed as so.

The back and neck pain was always managable for me, even with carring 100lbs of gear and working my body to exhaustion.

The two day long migraines were however debilitating. They are always accompanied with the stiffening of my neck, which is why the nuero believes the disc problem to be my trigger.

I understand that your referencing studies and have a wealth of education and knowledge to support your point. But those studies have had zero impact on helping me. What helped me was doing my own research and my willingness to look outside the box while condescending doctors treated me as if I was incapable of making any intelligent decisions on my own behalf. I tried the traditional route first and it was neither helpful nor healthy. I may be the only person in the entire world that is the case with but I will take my personal experience over your studies. At some point you have to put down the studies and treat the patient.
 
Give me an example of an Rx med with side effects not listed in the literature. The whole point of thoroughly testing and continued monitoring of these medications is to to have exhaustive data on their use.

If research answers one question, it usually poses several more. For example, if a few random cases of anaphylaxis are reported nationwide from a particular Rx drug, that occurance is then studied in order to understand all possible contributing factors. That type of data is cumulative for every med.

Even if I recommend an non-Rx drug, it is with a full understanding of all studies that have been done, and with sufficient knowledge that benefits far outweigh risks. That's how we lead our lives every day, right? Do you choose the highway when risks of serious injury and death are many times greater that that from medications? Sure you do, because you have accepted those risks in order to save time.

As always, I wish everyone the best of luck in their healthcare endeavors. I would just caution that all risks are difficult to know, and seeking the advice of a trained expert (instead of marketers) would always be prudent.

BTW, I've been in this industry since 1971, and this is no big govt. or big pharmacy conspiracy.


Um, I don't know-- benzodiazepines producing protracted desensitization of GABA receptors leading to multiple neurologic sequelae that are mistaken by neurologists as Stiff Person Syndrome? But I digress.

You are absolutely right that people should be skeptical of claims made by the supplement/ alternative medicine industry and they should be aware of the potential unknown risks and side effects of those as well. Nobody is alleging a conspiracy, but for the poor soul for whom the standard treatments have failed, I can certainly see the attraction and if it works for them, who are we to lecture?
 
Missed 2 games. "Unlikely" seems a bit inaccurate at this point.
 
What youve done is ignored the studies that do support Tumeric as a powerful anti inflammatory. Ive been to the pcp and the specialist, done all the test including MRIs and Scans and so on and was diagnosed as so.

The back and neck pain was always managable for me, even with carring 100lbs of gear and working my body to exhaustion.

The two day long migraines were however debilitating. They are always accompanied with the stiffening of my neck, which is why the nuero believes the disc problem to be my trigger.

I understand that your referencing studies and have a wealth of education and knowledge to support your point. But those studies have had zero impact on helping me. What helped me was doing my own research and my willingness to look outside the box while condescending doctors treated me as if I was incapable of making any intelligent decisions on my own behalf. I tried the traditional route first and it was neither helpful nor healthy. I may be the only person in the entire world that is the case with but I will take my personal experience over your studies. At some point you have to put down the studies and treat the patient.

I have no problem with you doing whatever you want to your body.

I simply caution anyone who would blindly follow unsubstantiated recommendations.

To your point about the possible advantages of turmeric (active ingredient is curcumin), here are some results of studies done at the Linus Pauling institute, Oregon State university:

Metabolism and Bioavailability
Clinical trials in humans indicate that the systemic bioavailability of orally administered curcumin is relatively low (3-5) and that mostly metabolites of curcumin, instead of curcumin itself, are detected in plasma or serum following oral consumption (6, 7). In the intestine and liver, curcumin is readily conjugated to form curcumin glucuronide and curcumin sulfate or, alternately, reduced to tetrahydrocurcumin, hexahydrocurcumin, and octahydrocurcumin (Figure 2) (4). An early clinical trial conducted in Taiwan indicated that serum curcumin concentrations peaked at 0.41 to 1.75 micromoles/liter (μM) one hour after oral doses of 4 to 8 g of curcumin (8). Another clinical trial conducted in the UK found that plasma concentrations of curcumin, curcumin sulfate, and curcumin glucuronide were in the range of 0.01 μM one hour after a 3.6 g oral dose of curcumin (9). Curcumin and its metabolites could not be detected in plasma at doses lower than 3.6 g/day. There is some evidence that orally administered curcumin accumulates in gastrointestinal tissues. For instance, when colorectal cancer patients took 3.6 g/day of curcumin orally for seven days prior to surgery, curcumin was detected in both malignantand normal colorectal tissue (10). In contrast, curcumin was not detected in the liver tissue of patients with liver metastases of colorectal cancer after the same oral dose of curcumin (11), suggesting that oral curcumin administration may not effectively deliver curcumin to tissues outside the gastrointestinal tract.

What one can derive from this evaluation is that the substance would essentially need to be taken hourly to maintain any significant plasma level, and that it's delivery and minor accumulation is limited almost entirely to the digestive tract. This problem has shown in human clinical trials, with positive results no better than placebo.

Again, you should want science on that wall;
you need science on that wall. We are not your enemy.
 
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