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Doctor insights on: Degenerative Disc Disease L4 L5

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1. Moderate degenerative disc disease L4-L5 unfavorably progressed since prior exam. 2. Interval development of a small posterior left paracentral dis?

1. Moderate degenerative disc disease L4-L5 unfavorably progressed since
prior exam.
2. Interval development of a small posterior left paracentral dis?

This means that-: -compared 2 earlier images there has been progression of the prior degenerative changes also since then a small L disk protrusion is present. As long as there is no leg pain this may just be an incidental finding that goes along with progression. @ Ur young age U need take care of Ur back. NSAIDS, activity modification, & avoid sports that R high impact. Don't put Ur self@ @ fisk. ...Read more

Dr. Bahman Omrani
343 doctors shared insights

Degenerative Disc Disease (Definition)

Occurs when the normal "spongy" architechture of the disks goes away. The disks normally are between the vertebre in your spine so when the disks degenerate, you lose mobility and eventually the bones can touch together, ...Read more


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I have degenerative disc disease(L4,L5) at a younger age.Are people like me still walking and functional when older(50s)? Would I need surgery later?

I have degenerative disc disease(L4,L5) at a younger age.Are people like me still walking and functional when older(50s)? Would I need surgery later?

Of course: You can be healthy and functional. You need to be proactive and take care of yourself. Good nutrition, keep the weight off, good body mechanics, keep exercising, especially back strengthening and core. There is no reason that you can't be physically active and healthy long long long into the future! Good luck ...Read more

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Is this bad?: Moderate degenerative disc disease at L4-L5 and L5-S1, better characterized on the more recent MRI. A disc osteophyte complex at L5-S1

Is this bad?:  Moderate degenerative disc disease at L4-L5 and L5-S1, better characterized on the more recent MRI. A disc osteophyte complex at L5-S1

Degeneration is norm: What you're describing could be the normal process of aging in the lumbar spine. Discs degenerate as we get into our 30's & 40's, but most often, don't cause pain. The disc degeneration is often associated with bone spurs, or osteophytes. Again, this can be normal as we age. Low back pain due to degenerative issues is effectively treated with nonoperative methods - exercise, therapy, OTC meds. ...Read more

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20 y/o female with compression Fx at T11 & degenerative disc disease between C5-C6 & L4-L5. MRI & DEXA just ordered. Ideas on what could cause this?

20 y/o female with compression Fx at T11 & degenerative disc disease between C5-C6 & L4-L5. MRI & DEXA just ordered. Ideas on what could cause this?

Compression fracture: 20 y/o is too young to osteoporosis but some conditions may lead to early one such as cystic fibrosis. Trauma is by far the leading cause for such things then if a pathological fracture is suspected, diseases that involve bone need to be ruled out (infections, tumors...). Further history can probably narrow down the differential. ...Read more

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A recent spine X-ray shows loss of volume of t10 and t12, also degenerative disc disease between l3-l4 and l4-l5 what do these both mean?

A recent spine X-ray shows loss of volume of t10 and t12, also degenerative disc disease between l3-l4 and l4-l5 what do these both mean?

Arthritis -- Spine: What are you describing is arthritis of various levels of your spine. Loss of volume describes damage to the intervertebral disc (loss of water), less cushion. Degenerative joint at l-4 and l-5, signify arthritic degeration of the vertebrae - facet and foraminal narrowing. ...Read more

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I have degenerative disc disease dislocation of 3 lumbar discs and disc herniation at l5/s1 and disc bulges on l3/4 l4/5 my doctor says he can't op why?

I have degenerative disc disease dislocation of 3 lumbar discs and disc herniation at l5/s1 and disc bulges on l3/4 l4/5 my doctor says he can't op why?

Conservative surgeon: There are several possibilities. The surgeon may feel that your problem(s) will not be helped by surgery. Another possibility is the doctor doesn't want to operate at multiple levels. Spine surgeons usually don't want to operate unless they are sure surgery can help you. This is an excellent attitude. ...Read more

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Bilateral L5 pars W/ grade 1 anterolithesis of L5 on S1 W/ mild degenerative disc disease. 30mg codiene over 3 yrs now ineffective?

Need evaluation: This sounds like a chronic pain syndrome. It needs to be evaluated. Be certain where the pain is coming from. See what can be done to help it. On codeine long term is never a good idea. It depends on what else your physician and pain physicians can offer you. ...Read more

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I have degenerative disc disease in my L5 S1. Ever since my back injury i have had frequent urnination. What could be the cause?

I have degenerative disc disease in my L5 S1. Ever since my back injury i have had frequent urnination. What could be the cause?

I would consult-: -a urologist, as this is not a symptom of back injury. It is usually leaking or incontinence, either way start with an urologist & get referrals if needed. ...Read more

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I'm a 64yo male with degenerative disc disease at l2-l3 and l3-l4 from an mri. I have no pain, but I have foot drop in my left foot. How can this be?

I'm a 64yo male with degenerative disc disease at l2-l3 and l3-l4 from an mri. I have no pain, but I have foot drop in my left foot. How can this be?

Many cuases : Nerve injury. The most common cause of foot drop is compression of the nerve that controls the muscles involved in lifting the foot. This can happen at the knee or in the lower spine. Muscle or nerve disorders. Brain and spinal cord disorders. Multiple sclerosis or stroke ...Read more

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I have random tingling inner thighs, sides of knees and calves with Increased low back pain. I have severe degenerative disc disease S1-L5; related?

I have random tingling inner thighs, sides of knees and calves with Increased low back pain. I have severe degenerative disc disease S1-L5; related?

Maybe the calf pain: Medial thigh pain is a higher dermatome, usually L3 or L4 nerve roots. Buttock, posterior-lateral thigh, posterior calves however are consistent with S1, sometimes L5 radiculopathy (tingling, burning, aching, pulling). You probably need more of a work up, PT for core stabilization, stretching, nerve slides and piriformis stretching, maybe an epidural, MRI if not done yet. ...Read more

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X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more

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I have herinated buldging of my l4-l5.And also have degenerative disc dieases.well now im told i also have stable retrolisthesis ofl4and5.

Lumbar disc disease: Lumbar disc disease at the L4/5 level is very common. This is arthritis of the low back. As a disc degenerates or wears out it can bulge, tear and herniate. The facet joints can become weak and the spine can slip or become unstable (retrolisthesis). The L5 nerve root can become compressed and lead to pain and numbness radiating down the leg (sciatica). See a neurosurgeon for treatment. ...Read more

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I have degenerative disc L4 L5 is it safe to do sit ups n crunch. Will the it get better over time without doing surgery will it be like that 4 ever?

I have degenerative disc L4 L5 is it safe to do sit ups n crunch. Will the it get better over time without doing surgery will it be like that 4 ever?

Yes: In fact, we encourage abdominal strengthening exercise in patients with back problems, including disc disease because making abdominal muscles stronger takes pressure off lower back muscles, and helps with pain. Most disc problems don't require surgery. ...Read more

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What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

Lumbar disc: Highly unlikely of a tumor. Modern imaging rules this out 99 % of the time. Radiologists often leave differentials in their reports...Ie a list of common and uncommon possibilities. Consult a spine surgeon, physiatrist, or neurologist for further analysis. ...Read more

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I was in a MVA in the early 90's. I had some damage to L4-L5, L5-S1. I have had back pain ever since. I had an MRI a couple years ago that showed i had degenerative discs, arthritis, and narrowing of the nerve pathways due to sclerotic discs or tissue. I

Second opinion ?: 41 y male w. MVA in 90's & "pain ever since" & now has Degenerative Disk Disease, DDD, which is not reliably a pain generator; as medical lit. well reports, which DDD did not develop until years after the pain onset in the 90's & which is likely a red herring. Concern for acute SIJ ligament injury never detected; because it is radiolucent. See an Osteopath. ...Read more

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Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?

Treatment  42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis  + degeneratIve discs L4 l5?

See ortho spine doc: You may need reconstructive or supportive surgery to prevent nerve damage if you have more than one vertebral body affected by the osteoarthritis. If this is a congenital issue an ortho spine doctor would give you the best advice on how to proceed safely ...Read more