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Doctor insights on: Broad Based Posterior Disc Osteophyte Complex

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What does it mean when MRI report say c4c5 facet arthrosis and posterior disc osteophyte complex resulting in mild effacement of the thecal sac?

What does it mean when MRI report say c4c5 facet arthrosis  and posterior disc osteophyte complex resulting in mild effacement of the thecal sac?

Back trouble!: Depends on your symptoms whether just a finding or a cause of trouble. C- is cervical-neck 4-5 of the usual C1-7! Osteophytes are bony prominences from arthritis and changes. Thecal is sac around nerves and cord. ...Read more

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Dr. Ryan Pflugner
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Osteophyte (Definition)

Osteophyte is also known as Bone spurs. An ostophyte is often referred 2 as a spur. In thritis as in the knee the body knows u have pain so 2 try 2 lower the #/sg in of pressure it layes more bone down 2 increase the wt bearing surface, wee c these as osteophytes, same with the hands and feet. In the foot usually the great toe. It is soft bone so a hard bump 2 them and lead 2 a small fx of ...Read more


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What does this mean..there is degeneration of the t12/l1 with a posterior disc osteophyte displacing the conus medullaris posteriorly?

What does this mean..there is degeneration of the t12/l1 with a posterior disc osteophyte displacing the conus medullaris posteriorly?

There is : degenerative arthritic change at the T12-L1 spinal level, the junction of the thoracic and lumbar spine. Disc protrusion or bulge and osteophyte(arthritic bony overgrowth) are extending into the spinal canal and pushing or compressing the conus(the lower part of the spinal cord). ...Read more

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Dr. Ryan Pflugner
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9 years in practice
121K people helped
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Back pain for 10 months. MRI last week showed, mild broad-based posterior disc protrusion at l5-s1 but no nerve root comprression.Whats best treatment?

More info. needed: I often tell my patients the following. If I (metaphorically) pull 10 people off the street, at random, who don't have back related problems, and have them get an MRI of their lumbar spine, > 5 of the 10 will have 1 or small 'imperfections' in their disc appearance(s). In your case the strong probability is that the noted finding on your MRI has no relationship to the cause of your back pain. ...Read more

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Dr. Ryan Pflugner
Board Certified
9 years in practice
121K people helped
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Broad based disc osteophyte complexes at levels c3-c7, efface the dural sac.Mild reversal of curvature.Conservative treatment hasn't helped..Severe pain? Please help! only 28yo. Ultrasound tech.

Injections w/ PT: Sorry to hear about your pain. If conservative treatment had already failed, i would consider epidural steroid injections along with physical therapy. It may free you up to get more out of pt. Avoid high velocity manipulation w those osteophytes. Also avoid surgery as long as possible. If epidural does not help at all, may be facet related, blocks with subsequent rfa may benefit from well. ...Read more

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Broad based disc osteophyte complex effacing the cal sac at c5-6, c6-7 , c7-t1 with mild right and moderate left neural foraminal narrowing at each ?

Broad based disc osteophyte complex effacing the cal sac at c5-6, c6-7 , c7-t1 with mild right and moderate left neural foraminal narrowing at each ?

Neurosurgery consult: If you have symptoms of pain or neurological symptoms of numbness or weakness, it may be time to consult with a neurosurgeon to find out about the future need for possible surgery. I always recommend Neurosurgery for the neck. In the meantime, please see your primary care physician for pain treatment if necessary. ...Read more

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C5/6 a broad based disc protusion with vertebral endplate osteophytes, what to do?

Maybe nothing: Those are fairly common findings, especially for weekend warriors. For patients with symptoms a collar can be effective in the short run. If persistent symptoms or disabilities may require surgery. ...Read more

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I have a osteophytes on C5 & c6, occluding right neural foramen 50 %. Neurosurgeon suggest cervical fusion. Can it be done posterior?

I have a osteophytes on  C5 & c6, occluding right neural foramen 50 %. Neurosurgeon suggest cervical fusion. Can it be done posterior?

Not as well : A posterior approach is an option. However, based on your description, an anterior approach would be better. Check out spine-health.Com. ...Read more

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Bone Spurs (Definition)

Bone spurs, or osteophytes, are bony projections that form along joints, and are often seen in conditions such as arthritis. Bone spurs are largely responsible for limitations in joint motion ...Read more


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Dr. Ryan Pflugner
Board Certified, Sports Medicine
9 years in practice
121K people helped
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