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Nadim Al-Mubarak
Nadim Al-Mubarak, Doctor
Category: Medical
Satisfied Customers: 379
Experience:  MD at University Hospital Case Medical Center
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My dad has diabetes and prolapse of lumbar intervertebral

Customer Question

Hello, My dad has diabetes and prolapse of lumbar intervertebral disc. He is currently in China and he has been eating dietary supplement (glucosamine). Do you have any suggestion of what he should do?
Submitted: 11 months ago.
Category: Medical
Expert:  Nadim Al-Mubarak replied 11 months ago.


I am happy to help, but I need some more information: Was he just diagnosed with this, or was this established prior to his trip to China? How is now? Is he having active problem/pain? What is the specific active problem for today?

Expert:  Nadim Al-Mubarak replied 11 months ago.

It is not possible to give you a viable advise without getting more details. Many people have prolapsed disks, yet they are able to function well.

Customer: replied 11 months ago.
Sorry for the late response doctor. Myself is an undergrad at Case. My dad is a Chinese, and he was diagnosed of diabetes and prolapsed disks around March and April, it seems these two diseases come together all at once. I have bought some supplement at the local pharmacy but some of them may contain glucosamine etc, which I am not sure if he should take. My dad feels painful no matter stand, sit or walk and he can't have a good night of sleep. We are in China currently so most doctors in China do not recognize those supplement so we really need some help. My dad hope he could cure or relieve the pain without taking therapy.
Expert:  Nadim Al-Mubarak replied 11 months ago.


  • It is possible to treat disc prolapse without surgery. That depends on the degree of prolapse and the associated symptoms. If there is no neurological deficit or symptoms, and the pain is controllable, then there is nothing wrong with this conservative approach
  • Pain is typically controlled with non-steroidal anti-inflammatory medications, tylenol, local injections of narcotics, occationally narcotic painkillers
  • This should be complimented with physical therapy
  • Glucosamine may or may not help. There is no harm trying it, and it does not affect the blood sugar, and does not interfere with the diabetes control

Let me know if you have any further questions. If satisfied, please complete the rating above. It's how we get credit for the service. Best wishes

Customer: replied 11 months ago.
What exercise could my dad do? They told him he should eat base a 2000 cal diet but when he exercises(walk), he exceeds 2000 cals everyday. He became pretty thin right now so we are confused how much he should eat and what exercise should be done.