Doctor insights on:
C4 C5 Nerve Impingement
Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read moreSee 4 more doctor answers
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?
Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more
Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?
Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more
Slight herniation l5s1.Pain leg&back.Foot drop .Failed nerve block.Nerve study/emg&brain MRI normal.What else could explain the foot drop ?
Radial nerve palsy: Which affects the muscles of the arm or forarm cannont be corrected in terms of size of the muscles unless the source of the palsy is corrected. For a chronic situation though, typically tendon transfers are used to improve funciion. These are quite well laid out, tendon transfers, and any hand surgeon can assist in discusing the details. ...Read more
Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?
?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more
Back pain localized on lumbar disc. Pain on movement. No leg pain/numbness. Gait weakness. PCP refusing imaging. Pain meds, ice/heat not working.
Could a lumbar sympathetic block or nerve block help with restless leg syndrome or should I just use Requip (ropinirole) and lidoderm 5% patches?
RLS Rx: Do you have PRIMARY RLS (just RLS and nothing else) or secondary (due to neuropathy, sleep apnea, etc)? RLS happens in the BRAIN. I know of no evidence that blocks are effective for RLS. Whose notion was that? For same reason Lidocaine patches shouldn't help. Stick with ropinirole, pramipexole, gabapentin, pregabalin, levodopa. If secondary, try to treat underlying cause as well. ...Read more
Emg & ncv2 unit test result:sensory polyneuropathy & possible bilateral c8, t1, l4& L5 rediculopathy.What does that mean? Not alcoholic nor diabtc & hiv
Several ways: First line treatment is protecting the nerve from the insult or injury. This may include bracing or padding the elbow. Pt is also effective to treat restriction and inflammation and improve nerve mobility. Injection is another option. Surgery is last but only with confirmed nerve injury through emg/ncs testing. ...Read more
Ongoing pain in neck and trapped nerve. After having a mri and xray it has been confirmed bulging disc between c5 c6. Surgery next option?
Cervical spine surge: Surgery should be your last option. More than 90% of damaged discs heal by themselves over time. For ongoing nerve pain and neck pain , you should get a cervical epidural steroid injection done by a qualified and experienced pain physician under x-ray guidance. Also start physical therapy as soon as you can to relieve muscular spasm. ...Read more
Can an anxiety disorder mimic symptoms like ms? Muscle twitches ,prickly sensation, numbness ?
Had normal brain,neck MRI and clean emg.
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.
Burning sensation near intersection of right acromiom and scapula radiating to deltoid, with lower thoracic spine or scapular pain. Possible causes?
Sounds like a pinch-: Ed nerve in the neck/tspine , causing all your symptoms. Acromion is a part of the scapula, so I am unsure which specific area are you referring to (by calling it the intersection of ac. With scap.)? See an orthopod to be evaluated/investigated, so treatment could be started. Good luck ; happy holidays. ...Read more
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 moreSee 1 more doctor answer
Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?
Pain: The symptoms are pain in the distribution of the sciatic nerve which means radiation from your low back down the back of your thigh into your calf and foot. In more severe cases there may be associated tingling, numbness and even weakness in specific muscles. If you are worried about having sciatica see an orthopedic or neurological surgeon or a neurologist. ...Read moreSee 2 more doctor answers
No: No they do not.Get a more detailed answer ›