right disc herniation c5-c6-right lateral stenosis severe right foraminal stenosis. tried spinal decompression and trigger p. injec.what else to try?

Question

Havin to wait 6-8mos to see ortho dr, isgood?I have severe spinal stenosis and moderate to severe bilateral stenosis neural forminal stenosis at c5-c6

Answer 1

Most resolve with : Time but medication like oral steroids or nsaid's if no contraindications along with meds like Neurontin (gabapentin) may help along with wearing a soft cervical collar reversed when sleeping or reading. Cervical epidural injections are a consideration and if no better after 12 weeks of symptoms, surgery can be considered if symptoms warrant this intervention.

Answer 2

it depends: If you only have pain without any neurological compromise(numbness, weakness), you may be a candidate for cervical epidural steroid injections. If you do have neurologic compromise, urgent surgery may be indicated.

Answer 3

Yes: There is a risk of devastating stroke. See your doctor asap.

Answer 4

Variable: Carotid evaluations can be done with physical exam, ultrasound(doppler) and ct, mra and angiography in properly selected patients. The dat-results are presented in variable formats but leading to degree of narrowing(stenosis) or irregularity(ulceration).

Answer 5

Unclear: I'm not clear what you're asking? If carotid stenosis is suspected, the neck is auscultated for bruits. The pt is queried for neurologic deficit and, if appropriate, a neurologic exam is done. Duplex ultrasound exam of the neck is done. If necessary, a ct, mra, or angiogram may be necessary in selected cases.

Answer 6

Carotid stenosis: Presence of carotid bruit and carotid ultrasound.

Answer 7

Ultrasound of : The carotid arteries best place to start. See carotid disease at www.Sirweb.Org.

Answer 8

Physicalexam imaging: Carotid stenosis can be diagnosed on physical exam by a bruit. Ultrasound in usually the first imaging study followed by mra/mri, cta, and final angiography.

Answer 9

Atherosclerosis: Usually it is the result of the build up of atherosclerotic plaques over time due to the buildup of cholesterol.

Answer 10

Vascular disease: The risk factors are smoking high blood pressure, diabetes, elevated cholesterol, elevated triglycerides, elevated uric acid levels, family inheritance.

Answer 11

Narrowing: Narrowing of the internal carotid artery as determined by ultrasound, mra, cta, or angiogram.

Answer 12

Carotid Stenosis: Usually caused by atherosclerosis (also known as hardening of the arteries) in which palque builds up within the artery walls. Risk is increased by smoking cigarrettes, high cholesterol or lipids, or family history / genetic predisposition. Dissection (tear inside the artery) or fibromuscular dysplasia are other potential causes of stenosis. Ultrasound is usually initial study to evaluate.

Answer 13

Blocked plumbing: Your carotid arteries deliver blood to your brain and head. Carotid artery stenosis is when gunk and inflammation make it harder for the blood to flow. When your brain doesn't get enough blood, parts of your brain can die. That's a stroke. The good news? You can prevent this by: eating right, moving 30-60 minutes every day, controlling your blood pressure, not smoking. Thanks for asking.

Answer 14

2 things: Carotid artery stenosis means narrowing of the artery. Stroke is death or damage to brain due to circulatory issues. Many strokes (approx 1/3rd) are due to carotid artery disease. Although frequently connected, they are not the same. Many strokes occur without carotid stenosis. Many carotids are completely occluded (slowly) without resultant strokes.

Answer 15

See below: Carotid artery disease means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the risk of stroke.

Answer 16

Elderly Hypertensive: Carotid stenosis usually occurs secondary to longstanding atherosclerosis. Risk factors include high blood pressure, diabetes, and coronary artery disease. It takes time for atherosclerotic plaques to develop, so most patients with carotid artery stenosis are older adults.

Answer 17

See below: High risk individuals include, those with diabetes, high blood pressure, smoking, and high lipids.

right disc herniation c5-c6-right lateral stenosis severe right foraminal stenosis. tried spinal decompression and trigger p. injec.what else to try?

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