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Doctor insights on: Bilateral Lateral Recess Stenosis

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I had an MRI it's says bilateral lateral recess stenosis, identation ventral thecal sacar noted and foramina mildly narrow bilaterally is this bad??

I had an MRI it's says bilateral lateral recess stenosis, identation ventral thecal sacar noted and foramina mildly narrow bilaterally is this bad??

Spinal stenosis: No. This is a mild form of arthritis in the low back. Like gray hair and wrinkles arthritis is a part of aging. While there is no cure, you can slow it down with strengthening core muscles, maintain a normal weight, and avoid tobacco products. Focus on occupations that do not require manual labor. People who do heavy lifting, bending, and stooping usually retire 10 years earlier than desk jobs. ...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


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Can lateral recess stenosis be corrected without a spinal fusion?

Can lateral recess stenosis be corrected without a spinal fusion?

Yes, decompression: If the cause of the lateral recess stenosis is purely due to something compressing the nerve, like a disc or bone spurs it can be treated with a decompressive laminectomy or hemilaminectomy. However, if the cause is instability of the spinal segment, it should be fused. Also, if there is severe back pain associated with it, your surgeon may suggest to fuse as well. ...Read more

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Does lordosis predispose someone to congenital lateral recess stenosis?

No: Hi
Strictly speaking, "congenital" means that you were born with it. However, I would say if you were born with congenital lateral recess stenosis and developed excessive lordosis as an adult, then you could be more prone to developing symptoms like back pain. Hope this helps ...Read more

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What the difference from spinal stenosis and lateral recess stenosis? And is one worse than the other? Thanxx

Different symptoms: Lateral recess stenosis typically just affects a single nerve, causing varying degrees of pain, weakness, and/or numbness. Central canal stenosis usually affects the entire bundle of nerves in the canal at the affected level. This can include the symptoms above, as well as difficulty standing or walking, also known as neurogenic claudication. ...Read more

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What are the symptoms for "acquired (b/c of herniation) congenital lateral recess stenosis" for exiting s1 nerve?

Several: Focal low back pain that radiates down the leg to the sole of the foot, and is worsened by straining, coughing, sneezing, and may awaken at nite. The foot may feel numb, and you may have problems with foot strength on downward flexing of the foot. You will likely lose the ankle jerk reflex on that side. Easiest to get examined by your doctor, and decide treatment approach. ...Read more

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I have ruptured l3-s-1with facet autropathy present l2-s1, lateral recess stenosis, and mass effect on my s1 nerve root. Besides prescription therapy. What helps?

I have ruptured l3-s-1with facet autropathy present l2-s1, lateral recess stenosis, and mass effect on my s1 nerve root. Besides prescription therapy. What helps?

Several options: There are a few options for treatment. You mentioned physical therapy. That certainly is effective a substantial % of the time. Other options include pain management therapy. Pain specialists are very good at adjusting medications that maximize pain control. They may also perform epidural steroid injections. Finally, depending on the correlation of the MRI findings with symptoms-surgery is an option. ...Read more

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What is eccentric protrusion to the left at the l4-5 disc space with mild lateral recess stenosis?

What is eccentric protrusion to the left at the l4-5 disc space with mild lateral recess stenosis?

Probably nothing...: ...To worry about. This is usually something I see from a radiologist's report and usually not something clinicallly significant. Lateral recess stenosis can cause irritation to the lower nerve root involved at the level (l5 in this case) if it is severe enough. ...Read more

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Can hamstring pain and sexual dysfunction be the cause of lateral recess stenosis complication at l5?

Can hamstring pain and sexual dysfunction be the cause of lateral recess stenosis complication at l5?

Other way around: The stenosis at L5 could cause the symptoms of hamstring pain and sexual dysfunction. ...Read more

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Hi I have ruptured disc in the lower back l4-s1, lateral recess stenosis, facet authropathy. Please tell me options for the pain is unbearable?

Hi I have ruptured disc in the lower back l4-s1, lateral recess stenosis, facet authropathy. Please tell me options for the pain is unbearable?

Discectomy vs. Fusio: The simplest solution is to have the disk removed by a micro discectomy procedure. If you have a long history of back pain which predominates over leg pain you might consider fusion as an alternative. In my practice patients that have a history of back pain do better with fusion procedures. The priority for you should be reducing your dependence on narcotic medications as clearly outcomes seem to be worse if you're on high doses of those medications pre-surgicall. ...Read more

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Could a person with congenital lateral recess stenosis have developed compensations over a lifetime like more blood vessel off shoots in foramen?

Could a person with congenital lateral recess stenosis have developed compensations over a lifetime like more blood vessel off shoots in foramen?

Not vessels: Clrs has nothing to do with the blood vessels it is a narrowing of the spine narrowing the side of the column depending on the age patient and the symptoms he should a md who can evaluate the severity the stenosis does not effect vessels but the nerves leaving the the cord check on google if sever he is having symptoms if not leave alone. ...Read more

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My MRI says I have lateral recess stenosis, mass effect on my s1 nerve root, and facet authropathy diffusley from l2-s1. What's this mean for me?

My MRI says I have lateral recess stenosis, mass effect on my s1 nerve root, and facet authropathy diffusley from l2-s1. What's this mean for me?

Needs correlation: The films suggest potential compression of the s-1 nerve root, which might explain numbness over sole of foot and weakness of calf muscles, besides pain radiating from lower back to foot. Could be treated conservatively, and may respond to epidural steroid injection, but if bladder involved, surgery is far preferable. Do have lengthy discussion with spine surgeon. ...Read more

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I have ruptured l-5-s1, nerve damage, facet syndrome l-2-s1, lateral recess stenosis. What could be done to give me reliefothee than pain manegement?

I have ruptured l-5-s1, nerve damage, facet syndrome l-2-s1, lateral recess stenosis. What could be done to give me reliefothee than pain manegement?

Back pain: Exercise! Recommend that you do a neutral spine core stability program for a 6-8 weeks. Consider an inversion table or nubax trio. If not significantly improved it may be time to have it evaluated by pain management. Can see videos of neutral spine exercises on youtube. This includes planks and "birddog". ...Read more

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Lumbar straightening and bi lateral stenosis of t5 is there anything I can for pain I've been stretching my back as directed but it doesn't help?

Possibly: A t5 stenosis seems unusual for your age. Was there an accident or congenetal problem? After self treatment is physical therapy or possibly an epidural injection. If all else fails it is time to visit a neurosurgeon.
First look into why you even have this condition. ...Read more

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I have spinal stenosis and I am having bi lateral hamstring tightness/pain. What levels can contribute to these symptoms?

L4-S1: It's usually L5 &/or s1 nerve roots although hamstring tightness could be due to pars fracture as well. ...Read more

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I have spinal stenosis and I am having bi lateral hamstring tightness/pain. What levels can contribute to these symptoms?

I have spinal stenosis and I am having bi lateral hamstring tightness/pain. What levels can contribute to these symptoms?

Sciatic nerve-tibial: Lumbar spine stenosis (narrowing) usually affects all structures below the site of spinal cord constriction. The hamstrings are innervated by a branch (ant. Tibial) of the sciatic nerve (l4, l5, s1, s2, (racepinephrine) s3 origin)
the word ham originally referred to the fat and muscle behind the knee. String refers to tendons.
The 3 muscles of the posterior thigh: semitendinosus, semimembranosus, biceps femoris. ...Read more

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I have disc hernation @ t7-t8 with flattening of the left ventricle spinal cord, disc protrusions and spondylolisthesis from L4-S1 resulting in bi lateral stenosis but more on left. Paresthesias on left leg and tingling in hot weather why NORMAL EMG?

I have disc hernation @ t7-t8 with flattening of the left ventricle spinal cord, disc protrusions and spondylolisthesis from L4-S1 resulting in bi lateral stenosis but more on left. Paresthesias on left leg and tingling in hot weather why NORMAL EMG?

The EMG/NCS: Test is a very unreliable (and UNCOMFORTABLE) diagnostic test in the diagnosis of lower extremity symptoms due to spinal cord/disc abnormalities.
It can be normal when imaging shows herniated discs!!
Hope this is helpful
Dr Z ...Read more

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Has anyone diagnosed "lateral recess spinal stenosis" in anyone under 25 yrs of age? How common is lrss in this age cohort?

Uncommon: Some people have congenitally narrow spinal canals. Lateral recess stenosis is typically a condition seen in older adults. A doctor who treats back pain regularly (physiatrist, orthopedist, neurologist) can tell you if this is even a significant finding. Many things are seen on MRI which may or may not be causes of pain or weakness. It isimportant to try to correlate the MRI with the symptoms. ...Read more

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I'm 19 and I have bilateral recess stenosis because of disc bulge. What does bilater recess stenosis mean? Can it be treated or cured?

I'm 19 and I have bilateral recess stenosis because of disc bulge. What does bilater recess stenosis mean? Can it be treated or cured?

Too young for it..: It means narrowing of nerve passage. If you had MRI.....it over reads. For your age.....PT, Weight loss and exercise...yoga will solve the problem.........cure, ? . ...Read more

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How do you treat lateral stenosis if you have had a failed laminectomny?

MANY OPTIONS: 1st q to ask: was the laminectomy appropriate tx of choice initially? Signific # of back pain pts are s/p laminectomy. Was laminectomy for stenosis or herniated disc & then u developed stenosis subsequently? Back surgeries r great if successful 1st surgery. If not, repeat surgery has very poor success rates. Natural options always better. Lose wt #1, if overwt. Then research the many other options. ...Read more

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I have severe bilateral foraminal stenosis. Any chance it can make me disabled?

Unlikely: Foraminal stenosis is a chronic condition that can be very painful and is often treated without surgery. Decompression with surgery can be helpful. It is not as disabling as severe canal stenosis. ...Read more

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What does less than 50% stenosis in bilateral corotid arteries actually mean?

Carotid disease: Any blood vessel may have a "blockage" due to internal clots/plaque or external pressure. The blockage can be graded and thus roughly estimated to be 25, 50, 50-75, more than 75%. Occasionally 60% is used as a cut off. Those numbers help to compare but also help to determine if blockage is significant enough to cause harm. Less than 50% says it is not significant. Test can monitor changes. ...Read more

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Disc protrusion measures 15mm medial lateral 6mm an anteroposterior causes contact with ventral cord and central canal stenosis?

Depends: The herniation size is important. However the symptoms are what dictate the treatment. Stenosis can cause weakness, pain, cramps. Ect. When conservative measures fail to allow a person to return to the activities of daily living...It's time to consider speaking with a spinal surgeon. ...Read more

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64 yo male, 18 mo ago had T7 compr frac, now healed, but with some central and lateral nerve stenosis, is one daily Tramadol 37/325 indefinitely safe?

64 yo male, 18 mo ago had T7 compr frac, now healed, but with some central and lateral nerve stenosis, is one daily Tramadol 37/325 indefinitely safe?

Relatively: All medicines including the others you are taking potentially can cause problems. So your question might better be: Are the benefits of taking the Tramadol 37/325 worth any long term risks? Yes most likely.

In general, it is better to promote healing from painful conditions. Consider even acupuncture, herbs, and even topical preparations which are often safer than long term medication use ...Read more

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Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and bilateral recess stenosis. Is this nerve root impingement?

Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and bilateral recess stenosis. Is this nerve root impingement?

Maybe: Radiographic findings always need to be correlated to physical examination signs and clinical symptoms. If there are symptoms, perhaps; if not, then the nerve root is not affected. ...Read more

Dr. Thomas Fiala
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Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more