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Family Medicine  (Expert Forum)
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spine condition and mind problems
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

spine condition and mind problems

by haliburton, May 14, 2006 12:00AM
I have been diagnosed with degenerative disc disease and some arthritis in my spine I have this in lumbar spine thorasix spine

and cervicle spine.I want to know if there is any treatment out there also I have problems lack of energy sometimes I also road bike when I do this my energy comes back no matter how tired I feel I excercise regularly also it feels like my disc problems affects my mood and thinking ability sometimes I feel like I am crazy is this caused by my spine condition or other  I took depression test and this does not to seem to be the problem I would like to know my next  I feel it's caused by my spine condition but with the other problems with mind and energy I don't no please let me know if you have any solutions

by Kevin Pho, MD, May 15, 2006 12:00AM
Typically, degenerative disease of the spine is managed conservatively with physical therapy.  More invasive therapy can include trigger point injections, as well as deeper epidural injections.  



Another consideration would be facet joint injections as well.  These injections normally are part of a specialized pain management clinic.  



As for the mood problems, you can consider a referral to a neurologist.  Brain imaging with a CT or MRI can be considered for further evaluation.



These options can be discussed with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_
Member Comments

by caregiver222, Aug 22, 2006 12:00AM
You need to pay for a very good physical rehab therapist specializing in this. The money will be well spent. Not that medical interventions may not be necessary. There are all sorts of simple special exercises that will provide you with relief.
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