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Doctor insights on: Arachnoiditis

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Dr. Tarek Shahbandar
85 doctors shared insights

Arachnoiditis (Overview)

Arachnoiditis is an inflammation of the membranes that surround the brain and spinal cord. This can be caused by toxins, reactions to medications, or infections by bacteria or viruses.


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What is arachnoiditis?

What is arachnoiditis?

Inflammation: The brain and spinal cord is covered by a membrane that has a cobweb appearance. This appearance caused pathologists to use a spider term to describe it. When it is damaged and inflammed it will cause pain and compression of nerves. This often occurs following surgery to the skull, neck or spine. This can result in chronic pain that is very difficult to treat. ...Read more

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Dr. Tarek Shahbandar
85 doctors shared insights

Arachnoiditis (Overview)

Arachnoiditis is an inflammation of the membranes that surround the brain and spinal cord. This can be caused by toxins, reactions to medications, or infections by bacteria or viruses.


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Arachnoiditis symptms say loss of bowel and bladder. What degree?Do constipation/frequent urinating fall into this category?I have most other symptom

Overactive Bladder: Although the cause of overactive bladder is unknown, it is obvious that back issues will affect the bladder since all the nerves to the bladder have to run through the spinal cord in the back. These nerves are very sensitive to any inflammation such as arachnoiditis. Since there is not always easy answers for back issues, the patient has to use therapy for oab. Constipation makes oab worse. ...Read more

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What are the symptoms of arachnoiditis?

Burning tingling: Arachnoiditis of lumbar spine can cause burning and sharp pain down one or both of the lower extremeties. Some people get sensory dysfunction which may feel like ants crawling up and down the legs. There may be urinary dysfunction and sexual dysfunction as well. ...Read more

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Is it complicated to diagnosis arachnoiditis?

No: Arachnoiditis can be easily demonstrated on MRI and myelography. Your doctor can decide if you need either or any of these tests. Hope this helps. ...Read more

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Is arachnoiditis a disabling disease? Can i be diagnosed with out having loss of bowel control or urinary control?

Yes: Arachnoiditis is more associated with nerve pain down the legs and not so much any bowel or urine control issues. A spinal cord stimulator can be very helpful for arachnoiditis symptoms. Cauda equina is an emergency situation with sudden loss of bladder and urine control as well as new weakness in the legs (in general). ...Read more

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What are the tests for arachnoiditis?

What are the tests for arachnoiditis?

MRI: The condition is diagnosed by seeing scar tissue and adhesions causing nerves within the spine to "stick" or clump together. The condition is seen on MRI or a myelogram followed by a ct scan. ...Read more

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How do you know when arachnoiditis progresses to adhesive arachnoiditis?

How do you know when arachnoiditis progresses to adhesive arachnoiditis?

Just terminology: Adhesive just means that scarring sticks to structures and causes squeezing and compression. If symptoms include compression of nerves and other tissues, then the scarring effect can be considered adhesive. If scarring is without compression, it can be simple aracnoiditis. ...Read more

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Will arachnoiditis always show on mri? My symptoms are burning legs&feet, leg cramps weakness in legs, no loss of refelx.Lower back pain. Other causes?

Sometimes: Arachnoiditis is often seen on MRI as clumping of nerve roots or adherences of nerve roots to the overlying dura. The findings can range from very subtle to quite obvious. ...Read more

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How do doctors treat arachnoiditis?

Tough case: Sorry to hear you have this condition. Since it is not correctable surgically you are really stuck with managing the symptoms. There are some interventional pain management techniques that may help. Spinal cord stimulation is an excellent option as an addition to medication management and psychological counseling for coping techniques. ...Read more

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My husband has arachnoiditis. The butrans patch didn't work. It is now being treated with 10 mg oxy and 30 mg oxy. Barely livable. What else will help?

My husband has arachnoiditis. The butrans patch didn't work. It is now being treated with 10 mg oxy and 30 mg oxy. Barely livable. What else will help?

Non-opioids: For the burning pain associated with arachnoiditis, non-opioid pain meds may work better like membrane stabilizers (gabapentin) or some anti-depressents. Patients also improve with spinal cord stimulation. I hope he does better soon. Talk to you doctor about the above options. ...Read more

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