Doctor insights on:
Causes Of Disc Space Narrowing
What causes neck arthritis is a young adult? My MRI showed narrowing of the disc space and a slight bulge.
Diagonisd with narrow disc space & doc said tis the reason of left leg pain. Can this be the cause since of pain in leg since childhood.?
Unlikely the cause: Discs are the cushions between the vertebrae of the spine and with trauma or aging, the gel center of the disc can protrude, causing it to collapse and put pressure on the spinal canal and cord and nerves and sciatica. It is rare to have this in early childhood, but has been seen in young adults who participate in active sports. Spondylolithisis can occur at L5-S1 but usuallly causes back pain ...Read more
My back pain problem is spinal estenose, what you advise? Cirurgury with a spacer on vertebral discs?
Just a decompression: Stenosis is surgically treatedcwith a simple decompression through a small insicion on the back to relieve leg pain with activityt the complex reconstruction you describe is for something entirely different decompression tak e30 min to do one level4weeks to recover from. ...Read more
YES: Degenerative disk "disease" is a misnomer. This is not a disease but rather describes the normal age related processes that occur to our disks. These changes include disk dehydration, disk bulging / protrosions/ herniations, and disk space narrowing. These processes can be visualized nicely with an MRI scan and sometimes can be inferred by an xray. ...Read more
Absolutely not: Spacers make room between teeth for placement of metal bands on back teeth. Braces ; wires align teeth. At 37 the 2 halves of your upper jaw have fused to each other ; to the other bones in your skull. Palatial expansion therefore mandates an expansion appliance + jaw surgery. See a qualified orthodontic specialist and inquire about "sarp.". ...Read more
I have back problem. I can't bent forward. I got disc space narrowed of s5 an s6. Suggest treatment.
Acute treatment: There is no s5 and s6, but a narrowed disc is simply an indication of early/mild disc degneration, which is essentially normal for most patients. If you can't bend forward, acute treatment with an oral steroid pack and steroid and/or toradol injections often will resolve the acute process, and then you can proceed with physical therapy to maintain your motion/flexibility. ...Read more
Husband right leg does not function uses cane and drags leg. Still falls often. He had surgery to remove disk and had spacer put in but leg no?
Leg problem: This problem is most likely neurological and related to your husband's back (disk) issue. I assume you have discussed this with the surgeon. If not, do so asap. Nerve injury is certainly a concern. ...Read more
Findings: mild anterior osteophytosis noted. Mild disc space narrowing at l5-s1. Conclusion: degenerative disc desease. What does this mean?
What does it mean to have moderately severe degenerative disc space narrowing in c4-6 with mild retrolisthesis with small uncinate process osteophytes?
There is a osteophytosis with disc space narrowing, end plate irregularity and disc desiccation at L1-2 and L5-S1.
What is "diffuse disc space narrowing from L1 to L5-S1 with marginal osteophytes arising from the vertebral endplates."?
(osteo)arthritis: Whoever ordered xrays and gave you results should have explained results to you (or patient). More important than xray interpretation (no offense intended towards radiology colleagues) is why xray ordered in first place. While xrays may show evidence of arthritis, we treat patient & pain/debility, not xray. Sometimes, there can be lots of pain despite normal xray. Other times, no pain w/coincidenc ...Read more
Degenerative changes seen throughout the thoracic spine w disc space narrowing & osteophyte formation. + compression deformity of T12. In pain! Help!
What can I do for bunion pain management, surgery not an option. I ice before and after dance., spacers cause more pain. Pain worst when squatting.?
Feel like Dancing?: The key word in your question is dance. Dancing and bunion deformities just do not seem to go together without problems. You can certainly try the usual modalities that may offer some temporary relief at best. These include, but are not limited to, ice, ice/heat, NSAIDS (Motrin), topical gels (Zostrix) or even changing shoes. There has been some promising improvement of symptoms with Prolotherapy. ...Read more
Can aerospan cause bacterial infection if I have a spacer? Also what diff between aerospan & dulera (formoterol and mometasone)?
No: If any infection it would fungal, to avoid that either with a spacer or without, drink water or gargle after adminstring the medicine, the difference between aerospan ( flunisolide); an inhaled corticosteroid (ICS) and dulera (formoterol and mometasone) (mometasone/formetrol) is that the latter is a combo medicine, containing an ICS and LABA ( Long Acting Beta Agonist)1; ...Read more
Prominent disc space narrowing and mild degenerative changes throughout lumbar spine for some years. Could spinal decompression cure, what is best?
Prominent disc space narrowing, bulges, and mild degenerative changes throughout lumbar spine for some years. Spinal decompression? Best opinions pls!
Spinal decompression: Remember, any changes that occur with traction are temporary. Once normal weight bearing is restored, all changes revert to pre-traction state. Inversion tables do exactly the same thing for about $250 total vs. Around $200 per treatment with traction. So if it feels good, it sure beats popping pills! Consider a mckenzie pt, or pilates/yoga/piyo as preventative. And don't smoke--accelerates ddd. ...Read more
Mild degen changes throughout lumbar spine with prominent disc space narrowing at l2/3, no sig central stenosis or direct nerve root contact. Pls help?
Prevent DDD: Don't smoke! That is about all that is in your control. The rest is genetic predisposition, and potentially overuse (heavy labor, vibration/heavy equipment, etc.). Remember, ddd is like wrinkles of the skin. It happens! Doesn't imply pain. Nothing sold over the counter has been conclusively shown to be preventative. Keep the core muscles in good shape, use good posture and ergonomics at work. ...Read more
Wear and tear: Generally, as we age, the size of the disks between our vertebrae gets smaller with the effects of gravity and use. On the x-ray it looks like the distance between the bones is closer than at other levels. Generally you can't really attribute any symptoms to this finding, although if the doctor was suspicious of a ruptured fisk, this would bolster the case for an mri. ...Read more
Disc space narrowing & endplate spurring @ c4/5.Degen facet changs & uncovertebral joint hypertrophy contrib to neural foraminal narrowing @c3/4&c4/5?
My spine has straight alignment C6/C5 disc space is narrowed. .. The subarticular surface between them has some bone sclerosis more of C5 which neck support should I use?
Symptoms??: There are no perfect neck supports. Wearing neck collars weakens the neck muscles so they should only be worn as a last resort to diminish neck muscle spasms and removed after 1-2 weeks to prevent atrophy of the muscles. You should see you doctor and determine if you would benefit from PT to strengthen those neck muscles. Much depends on symptoms sine we don't treat XRays or MRI scans ...Read more
Could a c reactive protein level of 28 be caused my hip spacer that was put in after hip implant wso removed due to infection?
Infection: Any foreign material can potentially cause inflammation in your body with resultant elevation of c reactive protein, however, before we blame that on the elevation, given your mention of previous infection, I would still rule this out as the cause of the elevation. If it has not been fully treated, it is imperative to control it until further assumptions are made. ...Read more
I have pain in lower back. X-Ray reports Lumbar lordosis reduced. Minimal reduction in L4-L5 & L5-S1 disc space. Pl advice cause, medicine, exercise.
Low back pain is one of the most common complaints in medicine and the findings on your xray are seen in patients with NO BACK pain as often as those with pain. The most important advice I can give you is EXERCISE! STRENGTHEN THOSE BACK MUSCLES and you will feel better. Your Primary Care Provider can provide you with these exercises Goods Luck Be Well!
Hope this helps
Dr Z ...Read more
Help I did an MRI of my cervical spine and the result was posterior disc herniations as noted at c-4 c-5 with impingement straightening and reversal of the normal curvature on the saggital views. Mild disc space narrowing as noted at c-4 c-5. Posterior d
Hi, what are your concerns/specific questions?
These results discribed are disk disease/degenerative changes, there is nothing described to tell of how sever eit is so it is difficult to know what the extent is without seeing the images. The most important thing concerning the MRI is to make sure the finding are consistent with your symptoms in order to tell if it is of any concern. As we age, most of us have the abnormalities as described in your report, but the importance is deciding if this is the cause of your symptoms. This should be done by your doctor.
Let me know if I can be of further assistance.
mkhoury@usradreview. Com. ...Read more
Pelvic xray revealed, "narrowing of L5 s1 disc space". What does this mean? Could this be causing lower back/pelvic pain?
Nothing 2 worry over: This is very common. Indicates a bit of wear and tear (we all get this). Many people have back pain and many people have disk degeneration—the two groups may overlap but rarely is cause & effect proven. The degeneration is there to stay. The back pain may come & go, is treated with PT, steroids, muscle relaxants, and maybe chiropractic. Surgery is rarely indicated, especially in the short run. ...Read more