Doctor insights on:
Cranio Crivical Pannus C1
67y old female with spinal discs compress left leg neuro.Has osteoporosis.Any surgical treatment can work?
Potentially yes: It sounds as if you may have stenosis, which refers to compression/impingement upon the spinal nerves due to narrowing of the spinal canal, often in part due to protruding discs. For patients who have otherwise failed conservative treatment, surgery to open up the spinal canal (laminectomy) is a treatment option. Osteoporosis is an unrelated condition of decreased bone density. ...Read more
I need help understanding my MRI. C7-T1: 3 mm posterior central disc protrusion contacts the ventral spinal cord without significant deformity.
Neuro or Ortho Surgeon - which better for sub articular disc protrusion with adjacent granulation tissue from old L5 laminectomy?
Neurologist: Neurologist is the 1st step for an EMG/NCS study which will show if your L5 root is having an ongoing damage (would show up as active denervation changes on EMG). If there is active severe denervation and weakness on exam then patient may get referred to the spine surgeon to correct the problem, but not all radiculopathies need surgical correction and some improve as disk material can get resorbed ...Read moreSee 1 more doctor answer
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
48 yr old post laminotomy for severe spinal stenosis, 5 orthopedic surgeon indicate double fusion, but will never do it, l3, l4, L5 degenerated?
Depends: All spines degenerate but not all spines then need a fusion. There would have to be another reason like an instability that can develop after prior spine surgery. Sometimes ongoing degeneration after a prior laminectomy leads to restenosis due to further facet & disc degeneration & a repeat decompression where there is a chance of destabilizing the spine by further bone removal requires a fusion. ...Read moreSee 1 more doctor answer
What would generally contraindicate surgery to repair lumbar HNP with bilat radiculopathy? Total of 4 thoracic and 3 lumbar discs DDD, L4L5 the worst
Poor result: The biggest contraindication to spine surgery would be if it was felt you would have a poor result. For example if your symptoms don't correlate with your MRI or you had too many levels involved, surgery may not help. Another contraindication would be if you had medical problems that would make it unsafe to have surgery. ...Read moreSee 1 more doctor answer
What would treatment be for in brief: focal disc protrusion with cranial migration. Mass effect upon anterior cord. T spine. ?
Disc herniation: Rest and anti-inflammatory medications as an initial treatment, followed by consideration for epidural steroid injections in a series of three and then lastly followed by surgical treatment if serious symptoms or evidence causing significant problems on neurologic findings ...Read more
I'm 35, was born with Congenital torticollis, had 2 surgeries at age under 5 - sholders are still dissymmetrical, scar tissue tightens neck. Surgery?
"microsurgical reconstruction of the infraorbital nerves". Mozsary pg, middleton ra. Damaged nerve. 6 cases of full reocver in 7 patients. Possible ?!
Nerve Reconstruction: It depends on what the cause of the original nerve damage was. Ophthalmologists can do wonders these days, so i would certainly suggest making an appointment and get an opinion. The authors report on successful reconstruction in cases where the nerve was intact, but trapped by scar tissue. Your case may or may not be similar, so it is best to undergo a complete evaluation. ...Read more
Neural prolotherapy l5s1 herniation with s car tissue around thecal sac abutting s1 nerve root..Pt, decompression , lyrica, (pregabalin) t3's.Could this help me?
Yes.: Neural prolotherapy, prolotherapy, trigger point injections, acupuncture, massage, myofascial release, rolfing and totally avoiding inflammatory foods may be more helpful than the medication. If there are tender knots in your upper butt muscles, most of your pain might be myofascial. www.blatmanhealthandwellness.com. ...Read more
Anterior disc repl surgeon cut sympathetic nerve resulting in stage3 horners wallenborgs syndromes cut vocal cord nw hv issues breathing reversable?
Prediction difficult: Am unclear how all of this happened to you while having a disc surgery. Would suggest you see a medical neurologist and a rehab doctor and get this all assessed. ...Read more
Is there anything that permanently lengthens the spine 3 inches? I'm 40. Could chiropractor increase height by 3 inches? Posture hasn't [email protected] all.
No: That does not happen in real life. Different people can measure a person's spine and come up with mildly different numbers, but the length of adult's spine remains the same... until it decreases as a person becomes elderly. ...Read more
Horners syndrome stage 3 fr surgeon severing symphatic nerve during neck surgery don't sweat on rt side pittosis miosis any hope 4 a normal face again?
Osteopenia of left femur neck. BMD g/cm2 0.649, T-score -1.8, Z-Score, -0.4. Would this require drug treatment. Total hip and Spine classified normal.
Osteopenia: At age 62 you should be a bit concerned but for now I would strongly suggest you check with the doctor whether or not your need drug therapy. Please let me know what your doctor said. ...Read more
Bilateral undescended testes uppermost part of inguinal canal 4 year old son. how long is surgery? any other options befire doing the surgery? Risks?
Elbow flexion stuck at 110 degrees 12 weeks post arthroscopic surgery. Procedure removed bone spur loose bodies. What to do?
68 yr-old man, new-onset loss of left toes dorsiflexion, 51 years after Harvey Cushing's Osteoplastic Craniotomy for temporal lobe epilepsy.....?
See ur NeuroSurgeon: New-onset loss of L foot dorsiflexion after craniotomy may be a complication of surgery, perhaps related to positioning. EMG/NCV (muscle & nerve testing) can localize site of nerve injury. Physical therapist can offer exercises to improve function as well as recommend ankle-foot orthotic to minimize risk of falling/tripping due to foot drop. Bottom line, chat w/your NeuroSurgeon then see FamilyDoc ...Read moreSee 9 more doctor answers