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A 57-year-old female asked:

i have ms and spinal stenosis. emg shows l5-l4-s1 compression of nerve root. orthopaedic surgeon won't do the surgery without neurologist ok.?

2 doctor answers4 doctors weighed in
Dr. Kenneth Smith
Internal Medicine 32 years experience
Appropriate: Surgey not the problem management of ms is the surgeons concern. Justified to want neurology involved.
Dr. Christopher Wilson
Sleep Medicine 21 years experience
Cautious : I would guess the surgeon is being cautious to make sure that the neurologist agrees that surgery will help the problem. Stenosis of the spinal canal is different than neuroforaminal stenosis. Emg is usually normal in canal stenosis and is sometimes helpful in neuroforaminal stenosis. Just because you have something wrong on EMG and MRI doesn't mean surgery is the answer. Ask twice, cut once.

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Last updated Jun 10, 2014
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