Doctor insights on:
Bilateral Lumbar Media Branch Block
Orthopedic: Mri shows right foraminal narrowing (moderate-sev) but notes no central cervical spinal canal stenosis. Any impingement into spinal cord?
Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful. Surgery?
Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor. ...Read moreSee 2 more doctor answers
The cause important: The right bundle is relatively easy to damage, so relatively small injuries can create it. The left bundles (two of them, one easy to injure, one hard to damage) require more damage to interfere with their function, so they are associated with "worse" heart disease with the prognosis inherent in your question. Cause is important, so need to talk to your doctors to sort those out. ...Read moreSee 1 more doctor answer
MRI says C6 & 7 bilateral uncovertebral spondylosis results in moderate to severe bilateral neural foraminal narrowing pain & numness hands sugary?
Radiculopathy: The neural foramen are openings along the sides of the spinal canal where the nerve roots exit the canal. Foraminal narrowing or stenosis(due to degenerative arthritis in your case) narrows the openings and can compress the nerve roots as they pass through. This can cause symptoms related to particular nerve roots(radiculopathy). The C7 root exits at C6-C7, hand numbness can result at this level ...Read more
Sometimes: A left bundle branch block is a finding on an EKG ( the electrical tracing of your heart.) it shows that something has altered the way your heart conducts electrical impulses. Chemotherapy can do it, but so can heart disease. Your doctor should rule out other causes for a left bundle branch block before assuming chemotherapy is the cause. ...Read moreSee 1 more doctor answer
I have mild tinnitus and moderate vertigo. Scan shows Prominent AICA branches extending into both internal auditory canals. Implication/treatment?
Controversial cause: although the labyrinthine artery, which is a branch of the anterior cerebral artery supplies the middle ear, whether prominence of this artery can cause ringing in the ears is controversial. I would make sure there is not another cause for the tinnitus. such as hearing loss due otosclerosis or hardening of the little bones that conduct sound or some other problem. ...Read moreSee 1 more doctor answer
Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?
Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more
Mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina.Can this cause goosebumps in leg?
Disc desiccation, bilateral facet hypertrophy, min. Spondylosis, flatening of thecal sac and bilateral neural foramina at l4-l5. Can it cause goosebumps?
No : No relationship between the described findings and the goosebumps ! ...Read more
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?
MRI said: "Prominent epidural vessel traverses right posterolateral epidural space
from C3 to C6, & exits spinal canal through the right C6-7 neuroforamen". Is this serious? Risks? Means I have AVM?
Spinal AVM: Not certain. An MRI or MRA is a screening study. A spinal angiogram is a definitive imaging study for a spinal AVM or a dural fistula. Usually there is swelling or edema in the spinal cord too. See a neurosurgeon who specializes in cerebrovascular disease. ...Read moreSee 2 more doctor answers
Pain lower back right side for over a month. Cloudy urine, ceftin (cefuroxime) for otitis media(not helping). Swollen glands in neck & under arms. Dr says glands feel fine and are just reactive. What can it be?
Complicated: On the top of your otitis acute or chronic (not clear from the presentattion) and lymphadenitis you might have confiding urolythiasis (stone in the kidney). Kidney ultrasound would help. Continue antibiotics for otitis full course as your doctor prescribed, get re-evaluation after treatment. If no improvement from the treatment you might need to get ENT (ear doc) referal. ...Read moreSee 1 more doctor answer
I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.
Wait and watch: Typically no reason to have headaches after mediial branch block . Potentially may happen IF the needle accidentally went too deep and caused spinal fluid leak but still the headache in that case would be constant with some change with position ( lying down versus sitting up) . Alternatively could be from steroids if used for block . Best to ask the office that did the block. ...Read more
Why would lumbar facet steroid injections work but when i did the medial branch block to see if a rhizotomy would help, it did nothing?
Muscle pain: Often the lumbar paraspinal musculature can also be the issue. Because the facet joint helped it suggests that the steroid actually improved pain where as the anesthetic only mbb didn't. The other question is that are their other structures that could cause pain like disc, annular tears, muscles, etc. ...Read moreSee 2 more doctor answers
I have been having lower back pain for 4 months now along with hip and knee pain had 2 medial branch nerve blocks neither help?
Need diagnosis : Sorry to hear of your problems. The best way to get improvement is an accurate diagnosis. If you’re not getting that now please get a second opinion ...Read more
For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read moreSee 3 more doctor answers
Varies: Some doctors complete these blocks in quick succession. Others space them periodically once results ware off. Apparently your MD is addressing CRPS symptoms following a surgery with residuals but we need more information and I am making some assumptions.There are other adjunctive approaches to explore at the same time we can discuss further or you can do with your Physical Therapist.Keep me posted ...Read moreSee 1 more doctor answer
Depends: It depends on what the expectations were with the administration of the block. Suggest you discuss this with your physician who was involved in recommending this procedure and/or the treating physician, if different. ...Read more
Lumbar nerve: A lumbar nerve block is 1 way to treat pain caused by compression of a lumbar nerve root. It can be done " blind" or via fluoroscopy or us guidance. Local anaesthetic and a steroid is injected close to the nerve. If the correct nerve location is identified, the pain will resolve. ...Read more
Medial branch block: Mbb stands for medial branch block. The medial branch is a small branch of the spinal nerves that supplies sensation to the facet joints, which are the joints in the back of the spine. L4 and L5 refer to the specific spinal nerves in the lower back (lumbar spine). Likely this procedure would be performed for somebody with pain due to facet joint arthritis at l5-s1 on both sides (bilateral). ...Read more
Not very, may need..: The sympathetic nerves coming out of the lower spine, lumbar, send pain impulses down the legs when overstimulated in problems like herniated lumbar discs, severe degenerative arthritis, tumors pressing on lower spinal cord... If pain or arthritic meds, electrical stimulation devices (implantable), epidural injections, morphine pumps all don't control pain, may need to destroy pain nerves to legs. ...Read moreSee 1 more doctor answer
3-6 hrs: but vaires can have effects for weeks ...Read more
Epidural steroids: Normally the effects are seen within 24-48 hours but can take as long as 1 week. It depends on several factors such as the amount of inflammation, the cause for your never root pain, degree of disc herniation, continuation of activities that may cause the disc to flare up etc. If it does not give you much relief after the initial 2 days, the problem may be whether the drug went to the right place! ...Read moreSee 2 more doctor answers
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