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Doctor insights on: Acupuncture For Neural Foraminal Stenosis

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What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read more

Dr. Heidi Fowler
823 Doctors shared insights

Acupuncture (Definition)

Acupuncture is a treatment based on Chinese medicine -- a system of healing that dates back thousands of years. At the core of Chinese medicine is the notion that a type of life force, or energy, known as qi (pronounced "chee") flows through energy pathways (meridians) in the body. Each meridian corresponds to one organ, or group of organs, that governs particular bodily functions. Achieving the proper flow of qi is thought to create health and wellness. Qi maintains the dynamic balance of yin and yang, which are complementary opposites. According to Chinese medicine, everything in nature has both yin and yang. An imbalance of qi (too much, too little, or blocked flow) causes disease. To restore balance to the qi, an acupuncturist inserts needles at points along the meridians. These acupuncture points are places where the energy pathway is close to the ...Read more


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What is the best treatment for "Stable multilevel degenerative changes resulting in up to moderate bilateral neural foraminal stenosis at L4-5.

What is the best treatment for "Stable multilevel degenerative changes resulting in up to moderate bilateral neural foraminal stenosis at L4-5.

L4-5: First you should think if you are having any symptoms because of your back bone stenosis. If you are, then that will need to be dealt with. If you have no symptoms and the back bone sites are stable, then there is nothing to be done at this time. You might check with your orthopod or neurosurgeon regarding back braces for support. ...Read more

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What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

Pain generator: This could be causing the left sided sciatic symptoms. Usually need to know more and do an exam to make sense of the pictures. ...Read more

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High grade osseous neural foraminal stenosis with cervical spondylosis mean?

High grade osseous neural foraminal stenosis with cervical spondylosis mean?

Pinched nerve: Cervical spondylosis is arthritis in the neck. Foraminal stenosis means narrowing of the space where the nerves exit the spinal canal, in this case caused by bone spurs from arthritis. After they leave the neck these nerves form the three major nerves of the arm, controlling feeling and movement. Stenosis can cause pain, weakness, numbness or tingling in the arm or hand. High grade = severe. ...Read more

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Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?

Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?

MRI: The radiologist is describing small spicules of bone that are causing some narrowing of the bony canal through which the nerve runs. The mr findings would have to be correlated to your clinical findings and a neurologist might be helpful there. ...Read more

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What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

Cause for back pain.: It means your main nerves coming from your spine that run through your vertebrae can be suffering of compression because overgrowth of the bony area is squeezing it/them. The pain is caused by the nerve itself that might be irritated by contact with the vertebra. Nerves transmit sensation so pain is triggered this way. F/u with your doctor to create a plan of action for treatment. ...Read more

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Mri shows mild inferior bilateral neural foraminal stenosis at l2/3, and l4/5. Pain has been chronic for years. What is the best medication or cure?

Mri shows mild inferior bilateral neural foraminal stenosis at l2/3, and l4/5. Pain has been chronic for years. What is the best medication or cure?

Treatment options: There are various options for treatment of chronic back pain. If the pain is truly due to mild neuroforaminal stenosis then an epidural injection mght help. Less invasive strategies like extensive physical therapy, pilates, massage therapy, acupuncture are all options. Be sure to have a good evaluation of the cause of the pain. ...Read more

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Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

What is the question: You have not asked a question. What you have is osteoarthritis at l5-s1 of a moderate degree. If back pain is a significant issue you have several options that can help. See an orthopedist or rheumatologist. ...Read more

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What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?

What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?

Arthritis: :worn joint between bones making canal where nerves leave spinal cord tight (stenosis) and disc in between vertebrae are not where they ought to be. It is in the spinal canal moved above and below where they belong. ...Read more

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Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

"Arthritic spurs": The radiologist that read the MRI is simply referring to arthritic spurs that are growing forward into the small space on each side of the spine where the nerves exit.

Keep in mind that this is very common in people with no pain at all. This is only relevant if it correlates with your symptoms and physical exam findings. ...Read more

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Report says: Left sided neural foraminal stenosis with nerve root impingement at the L5-S1 level Is there anything I can do to relieve pain until tx.

Report says: Left sided neural foraminal stenosis with nerve root impingement at the L5-S1 level Is there anything I can do to relieve pain until tx.

A few steps: Even at age 82, you could try some stretching exercises, and even some McKenzie back exercises. Hot soaking in hot tub or bath may alleviate some of the discomfort. Some meds will interact with your warfarin. But you might be able to gain relief from simple OTC meds such as Aleve, (naproxen) ibuprofen, and maybe you could be candidate for epidural steroid injection. ...Read more

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At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?

At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?

Question?: I am unsure what your specific question is. If these are the findings on a MRI/CT, the finding can be associated with cervical radiculopathy. The symptoms include pain in the lower neck, shoulder, arm, thumb and index finger. Treatments can range for medications, physical therapy, epidural injections to surgery. A spinal orthopedic surgeon or neurosurgeon can help decide on the best treatment. ...Read more

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Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Usually not quick: Unless neck is injured, the quick paralysis does not occur but a gradually progressive paralysis does occur which a neurologist or astute clinician can detect. It can be fixed by surgery and further progression will stop. ...Read more

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What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

Common finding: Disc bulging or protrusion of the disc does not correlate very well with the presence or absence of back symptoms (based upon MRI studies). Since you do not have evidence of nerve root or spinal cord compression it would suggest that your pain might be arising from lumbar facet osteoarthritis and/or myofascial pain in the lumbar muscle groups. Has an experienced physical therapist evaluated you? ...Read more

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My MRI results show lumbar djd with moderate neural foraminal stenosis. Is neural foraminal stenosis another name for radiculopathy?

No: Stenosis means Narrowing, and in this care the foramens or window where the nerves exit are narrowed. If narrowed enough, they may construct the nerve which could lead to radiculopathy. ...Read more

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What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

Spinal stenosis: You have arthritis in the mid back (thoracic level 9/10). The joints that connect one level with the next are overgrown and compressing the spinal cord and pinching the nerves as they exit the canal. It is important to see a neurosurgeon for an examination to ensure that there is no neurological problems from this arthritis and to develop a treatment plan for pain relief. ...Read more

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C4-5 right uncovertebral osteophyte/disc bulge complex broad disc bulge right neural foraminal stenosis & abutment of ventral cervical cord. Meaning?

Not meaningful: These findings on MRI of c spine are simply indicators of arthritic phenomenon with aging or wear and tear. These may or may not clinically corelate with the clinical symptoms or signs of a patient. Examining and ordering physician is in best position to tell if these findings corelate with your symptoms. See a neurologist. ...Read more

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Please explain. Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex formation, uncovertebral?

Please explain. Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex formation, uncovertebral?

Cervical narrowing: Age appropriate changes of a settling cervical spine causing bone spurs and crowding of nerves in neck may cause arm pain and numbess in fingers small and ring with or without neck pain. ...Read more

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I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?

I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?

Mild Back arthritis: Degenerative changes of spine all above findings are 30% asymptomatic may or not be cause of your symptoms. Now you have a more detailed list of suspects to investigate with a spine specialist. ...Read more

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What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read more

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Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Ummm....: Let me see if I can translate your post into English: You have bony and disc abnormalities in your lumbar spine and also some hematological abnormalities. Is that the correct rendering? The two have nothing to do with each other. Did you ask the question of your doctor? (I recommend that in future you have a native speaker of English check your question before you post it.) ...Read more

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What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

Degenerated disk: This is the description of degenerative disk disease as dictated by a radiologist. This is a very common finding and rarely needs surgery. ...Read more

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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

Call around: First, call the doctor that you have been referred to and request to be put on their cancellation list in case someone with an earlier appointment cancels. Secondly, that is a particularly long wait for a common problem. You may be able to call other spine surgeons in your area and get an earlier appointment. Check out spine-health. Com and healthgrades. Com to learn more. ...Read more

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Mri shows disc protrusion at l5-s1. Mod. Central spinal canal stenosis throughout L spine. Mod degrees of neural forminal stenosis at l4-5 an esp l5-s1?

Degenarative disks: The cartilage disks that cushion vertrebrae, (which are the bones protecting the spinal cord), have degenarated. Usually from wear - tear, the central portion loses water, which causes outer portions to bulge out and press upon surrounding nerve structures. The foramina are tiny holes from which nerves exit the spinal canal which is main space spine sits within vertebral cage. Tends to cause pain ...Read more

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Is acupuncture good for a bulged disc or spinal stenosis?

MODEST BENEFIT?: The more we learn, acupuncture seems useful for pain control, if done with expertise, but would not modify the anatomy of the pain generator. A bulged disc is unlikely to be the cause of spinal pain, and spinal stenosis may also be mostly asymptomatic initially. Best approach is to acquire a clear diagnosis and treat both cause and symptoms. ...Read more

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Has acupuncture shown proven results for pain with having DDD CERVICAL CANAL STENOSIS, herniated. C3-c4 & c7-T1 I know it varies but wanted opinion?

Has acupuncture shown proven results for pain with having DDD CERVICAL CANAL STENOSIS, herniated. C3-c4 & c7-T1 I know it varies but wanted opinion?

Acupuncture: Per the World Health Organization, use of acupuncture for the treatment of neck pain is categorized as "Diseases, symptoms or conditions for which acupuncture has been proved – through controlled trials—to be an effective treatment." REF: http://www. Evidencebasedacupuncture. Org/who-official-position/. However, can one state that acupuncture will definitively treat you particular condition - no. ...Read more

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Spinal Stenosis with myleopathy surgery two years ago. I now have bouts of dizziness and balance issues. What should I do?

Spinal Stenosis with myleopathy surgery two years ago. I now have bouts of dizziness and balance issues. What should I do?

MaybeMayBeNotRelated: It may or may not be related to surgery.But it is a good idea to find out. So to start with consult your Primary Care Physician and after evaluation he/she may order tests to find the cause of your dizziness and balance issue. So that appropriate treatment/therapy can be ordered ...Read more

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What is spinal stenosis?

Pressure on cord: Imagine an hour glass with wide base and narrow center. Now consider that the spinal cord rests in a wide canal with ample room. But bulging discs, bony overgrowth and thicker ligaments can fill the canal, causing pressure on this sensitive structure and its connecting nerve roots, and leading to painful conditions
...Read more

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I've had PT, Accupuncture, injections, RFA, meds haven't helped with RADICULOPATHY du to stenosis. What other options are there?

Many options: There's always more medicines that you haven't tried; pain psychology techniques like biofeedback, CBT, and mindfulness meditation; electrical stimulators; additional surgeries...don't lose hope! I'm available for consults if you'd like to discuss further. ...Read more

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There is left uncovertebral hypertrophy at c5-c6 causing mild to moderate left foraminal stenosis. What does the mean?

Spinal stenosis: This is a condition resulting from degenerative changes in the spine (for you, this would mean the neck). What actually happens is that the bone that protects the spinal cord becomes narrower. This causes pressure at different points on the spinal cord or nerve roots (causing numbness or other symptoms). Here's a great article which might help http://www. Niams. Nih. Gov/health_info/spinal_stenosis/ ...Read more

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

Ask your surgeon (s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more

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Myelogram shows mild R foramial stenosis at C5-6 & moderately severe B foraminal Stenosis at C6-7.Will this require surgery?

Myelogram shows mild R foramial stenosis at C5-6 & moderately severe B foraminal Stenosis at C6-7.Will this require surgery?

Depends on factors: As a neurologist I don't usually recommend surgical remediation of problems such as what you have UNLESS the patient is experiencing weakness in muscles of the upper extremities or so much pain that they literally cannot function anymore. Of course, they've been through all the conservative stages without success. If you'd like to talk more: www. Healthtap. Com/drsaghafi Key Code: PDXFNR ...Read more

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What are the pros and cons of posterior vs anterior foramenectomy to treat RADICULOPATHY due to C5-6 C6-C7 foraminal stenosis/chird compression?

Radiculopathy?: When there is chird compression, unless it's minimal, that's usually of more concern than radiculopathy. That can leave you quadriplegic (worst-case scenario). According to your doctor, are the problems due to root impingement (radiculopathy), cord compression or both? Most neurosurgeons prefer the anterior approach unless there is a reason to do posterior. What does your surgeon say? ...Read more

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Severe foraminal stenosis bilaterally at l5-s1 with some addl also in l3-l5. Unstable sponlylo. Surgery indicated. How many opinions & from whom?

At least two.: You may need fairly extensive surgery with stabilizing hardware placed. For your own peace of mind I would get at least two (or three) opinions. I personally would see a neurosurgeon and an orthopedic surgeon to get their opinions. ...Read more

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Just had an mri of c spine. Don't know what it means. Severe right and moderatly severe leftneural foraminal stenosis. Endplate changes at base of c2?

Talk to the doctor: Radiology reports always include extraneous stuff that is not meaningful but to the point, the little holes on the lateral portion of your vertebral column where nerve roots exit are called foramina. Whenever the nerve roots get pinched, this is foraminal stenosis. Likely your problem, causing radiating pain down the arms. Talk to whoever ordered the MRI about the next step in your care. ...Read more

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I have bilateral foraminal stenosis present at l4l5 with bilateral pars defect at L4 and am curious if the pars and stenosis can heal without surgery?

Generally, symptoms: Can resolve due to either condition the majority of the time without surgery as the only reason for surgery would be a failure of nonop care to control symptoms. If the pars defect was an acute fracture it has the potential to heal without surgery. But even if it doesn't or if not an acute fracture type, 90% are treated non op while only 15% of stenosis cases end up with surgical intervention. ...Read more

Dr. Thomas Dowling
756 Doctors shared insights

Spinal Stenosis (Definition)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, ...Read more


Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more