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Doctor insights on: Bilateral Degenerative Facet Disease

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L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

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 more

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Dr. Vikram Patel
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Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more


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What is mild bilateral facet disease? In my lower back.

What is mild bilateral facet disease? In my lower back.

It is : Facet joints are the joint structures that connect the vertebrae to one another. It's not uncommon through normal "wear and tear" - so called degenerative arthritis - that these joints break down a bit. It's a very common finding and doesn't mean that you will have any problems from this now or in the future. Though it could be causes some discomfort in you; everyone's body is different. ...Read more

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Dr. Vikram Patel
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Difference b/t mild bilateral arthrosis (1/13) and superimposed facet degenerative chngs (7/13)? Grind start b/t 2 scans. What can be done to fix?

Difference b/t mild bilateral arthrosis (1/13) and superimposed facet degenerative chngs (7/13)? Grind start b/t 2 scans. What can be done to fix?

Disc failure: It implies that the disc is deteriorated at the intervertebral level putting additional stress on the joints of the spine, the facets. If all conservative measures fail, a well done spinal fusion can solve the progressive problem. ...Read more

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What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

Disc & Facet Issues: Looks like by the verbage you gave, your MRI suggests that you have disc herniation at L5/S1. "Central" just means in the middle of the spinal canal,"bilateral facet degenerative change thickening flavum" suggests arthritis of the facet joint and the ligament that protects the spine is thickened due to that arthritis. Protrusion is just another name for a herniation. ...Read more

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Dr. Vikram Patel
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L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

Facet Arthropathy: Could be facet arthropathy/arthritis. There are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you. While arthritis/arthropathy will not change, the pain can be reduced or eliminated. ...Read more

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I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

Spinal Surgeon: It appears that you have tried many forms of conservative. I would recommend that you seek the care of a spinal surgeon. If you have nerve root compression secondary to a disc herniation, facet arthrosis, foraminal stenosis or lateral stenosis, surgical decompression may be in your future. See a spinal surgeon! ...Read more

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Dr. Vikram Patel
Board Certified, Pain Management
31 years in practice
826K people helped
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