Doctor insights on:
L1 L2 Spinal Cord Injury
See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more
Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. foramen [email protected] C4-5?
Spine Specialist: By definition you have spinal stenosis in the neck due to the disc herniation. If it is causing problems, see a spine specialist to discuss your options. Epidural steroid injections may relieve the pain, but the disc will take time to heal. If its getting worse or your are noticing weakness see a surgeon to discuss your options. ...Read moreSee 3 more doctor answers
L5-S1 fail segmentation&SBO, T11-L1 fused, post. hemivertebra & superior endplate infraction, facet OA & DDD T10-11, L1-2, L2-3. L5 pars defect, HELP?
Back,pain treatment: Major back problems needing surgery sometimes leave pain, even when the surgery went well. You need a pain management doc to evaluate if this is a compression vs nerve related problem.,treatments can include medication, bracing, injections, heating nerves to stop their pain, and over riding nerve pain with direct electrical stimulation -- spinal stimulation therapy. ...Read more
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read moreSee 1 more doctor answer
Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?
May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more
Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read moreSee 4 more doctor answers
Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?
Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more
Numbness, paralysis: Spinal cord injury affects the function of things below the site of the injury. There is a direct relationship between the spot on the cord damaged and changes below that point. So, the higher up the injury, the more damage is noted. This can be leg numbness or paralysis, the same for arms and if the neck is involved, breathing may be affected. ...Read more
L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?
Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read moreSee 1 more doctor answer
Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?
?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more
Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?
Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more
Direct sternal injury 2 years ago with chronic pain. Recent diagnosis of first rib injury with brachial plexus involvement. Changes of recovering?
Minimal: It seems you had enough time for spontaneous recovery. I would seek surgical correction of the rib to remove any pressure on the brachial plexus. ...Read more
35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?
Why can't surgeons separate fuse verterbrea in c2 And c3 area, what if that verterbrea compressing the spinal cord or nerve, are they just leave it.
Decompression: Some people are born with bony connections between vertebrae, sometimes called "block vertebrae." Surgery to disconnect them would not restore normal movement. But if there is pressure on the spinal cord or nerve roots from bone or disk causing symptoms of pain, weakness, numbness or tingling, we can usually relieve that pressure with surgery. See a neurosurgeon or orthopedic spine surgeon. ...Read more
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.
What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno
Increasing neurologi: Compression of the spinal cord can occur due to spinal stenosis. which will often cause pain in the back and or in the legs. This can further progress to muscle weakness, weaker legs and paralysis if not treated in time. You need to see a neurologist or a neurosurgeon to guide you in further managing this problem.. ...Read moreSee 3 more doctor answers
X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?
Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more