Doctor insights on:
Bilateral Lumbar Medial Branch Block
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
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
Disc bulge w/ post left lat disc protrusion c6-7 mild central/left neural foramina stenosis hemangioma seen w/in left lateral inferior aspect of c4?
Disc herniation: Surgical intervention to the c6-c7 disc herniation is recommended or warranted if conservative care management fails to provide any adequate pain relief and/or progression of neurological deterioration. As for hemangioma and mild stenosis at c4, no surgery is recommended. ...Read more
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
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
At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?
Facet Injection: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The Medial Branch Block is mostly an anesthetic injection for diagnostic purposes to determine candidacy for radiofrequency ablation. ...Read moreSee 2 more doctor answers
Post fusion, osseous bridging, spacer w/ slight dorsal protrusion right w/osteophyte ridging causing mild right sided central canal stenosis. ?
The location: Obviously the location of the electrical block in the conduction of electric impulses from the atrium to the ventricles is different. The electrical signals travel to the two ventricles through the left and the right bundle, the left then bifurcates to two fascicles itself. In my experience, the non-pathologic presence of right bundle branch block is more common. ...Read moreSee 1 more doctor answer
L4/l5,posterior disk bulge,central disc protrusion indenting thecal sac.Causing bilateral lateral recesses and lower segments bilateral neural foramin?
Report: You need to take the results in combination with the clinical findings. Ask the attending doctor to explain th findings in conjunction with your complaint ...Read more
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
Neuropathy : Bilateral peroneal mononeuropathies are commonly seen in patients with mononeuritis multiplex secondary to diabetes, polyarthritis nodosa, nutritional deficiencies, and critical illness polyneuropathy. Bilateral and symmetrical presentation rises the possibility of lumbar radiculopathies or lumbar stenosis. Neuroimaging like MRI and electrophysiological studies like EMG and nerve conduction study could help in sorting this out. ...Read moreSee 2 more doctor answers
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
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