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Doctor insights on: Degenerative Disc Disease Of The Thoracolumbar Spine And Obesity

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Dr. Quang Nguyen
4,585 doctors shared insights

Obesity (Definition)

A condition in which a person has too much body fat, with a BMI greater than 30. This indicates the person is not in in good health. It is not the same as being overweight because weight can come from other things like muscle, bone, ...Read more


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Are degenerative disc disease and disc space narrowing the same thing?

Are degenerative disc disease and disc space narrowing the same thing?

Not really: I wouldn't say the terms are interchangeable, but certainly degenerative disc disease can be seen as disc space narrowing as described on xrays and other imaging. ...Read more

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Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?

Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?

Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more

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Are degenerative disc disease and disc space narrowing two terms for the same disease?

Are degenerative disc disease and disc space narrowing two terms for the same disease?

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

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"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

These findings are: all part of the spectrum of degenerative arthritis. The facets are small joints between the posterior parts of successive vertebral bodies. Foraminal stenosis means that the opening(foramen) that the nerve root exits the spinal canal through is narrowed, usually by degenerative disease, and may be pinching the nerve root, in your case the right L4 nerve root exiting the L4-L5 foramen. ...Read more

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Is this serious? Hypertrophic degenerative findings of endplates and lower lumbar facet joints bilaterally

Is this serious?
Hypertrophic degenerative findings of endplates and lower lumbar facet joints bilaterally

Osteoarthritis: These findings indicate the presence of osteoarthritis of the spine caused by wear and tear and this is a common disorder of the spine. This is not a life threatening condition although chronic back discomfort may be seen from the osteoarthritis. Morning back stiffness is a common complaint with degenerative arthritis of the spine. ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

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Are degenerative disc disease and arthritis the same?

Are degenerative disc disease and arthritis the same?

No: Degenerative disc disease is a mislabeling as it is a description used for the natural aging process of the discs. This degeneration can lead to inflammation which is what arthritis is, an inflammation of a joint. Not all degenerative joints are arthritic. ...Read more

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Is degenerative changes in the neck the same as degenerative disc deases?

Is degenerative changes in the neck the same as degenerative disc deases?

Possibly: Degenerative disc disease is essentially aging or wearing out of the discs. Degenerative changes can also affect the spine (bones itself) and aging/wearing out changes can also occur in the joints of the neck. Xrays can help separate out where the degenerative changes are ...Read more

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Degenerative changes to the thoracolumbar spine including the costovertebral joints. Could someone explain?

These are most : Likely normal age related changes that can be accelerated by being obese, a smoker or having a family history of arthritis. Generally, these are more apparent in men v women at an earlier age but more prevalent as we enter middle age with this increasing with age. Most do not have symptoms. ...Read more

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MRI of my Cervical Spine There is disc degenerative changes with associated impingement of the thecal sac , exit neuroforaminal encroachment.



MRI of my Cervical Spine 
There is disc degenerative changes with associated impingement of the thecal sac , exit neuroforaminal encroachment.

MRI result?: So- what does this mean? It is common for MRI of the c-spine to show degenerative changes. Impingement of the thecal sac is not normally concerning. It is unclear what is meant by "exit neuroforaminal encroachment". Was there encroachment or not? If it is there, this normally means nerve root encroachment, which can cause symptoms that affect the arms. ...Read more

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What is degenerative sacroiliac changes with vacuum phenomenon in SI joints, spurs anteriorly and sclerosis, also have thoracic bone spurs and fusion?

What is degenerative sacroiliac changes with vacuum phenomenon in SI joints, spurs anteriorly and sclerosis, also have thoracic bone spurs and fusion?

?Spondyloarthrpathy: Sounds like markers for a spondyloarthropathy. Without further history and physical exam can not state which, but you need to see a Rheumatologist who knows and knows what further studies are warranted. ...Read more

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Dr. Ki-Hon Lin Dr. Lin
2 doctors agreed:
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Degenerative changes of the lumbar spine with moderately severe narrowing of L4 L5 neural foramina?

Dr. Ki-Hon Lin Dr. Lin
2 doctors agreed:
Degenerative changes of the lumbar spine with moderately severe narrowing of L4 L5 neural foramina?

Spine degeneration: You may already know this, but degeneration simply refers to aging changes in the spine which occur in all of us - disc narrowing and dessication, spinal joint arthritis, bone spurs, etc. The significance of narrowed foramina (also caused by aging changes) is that nerves can get pinched in the area of narrowing, and pinched nerves can result in leg pain. Talk to your doc about treatment options. ...Read more

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Does the scheuermann's disease cause disk herniation on the lumbar and kyphotic? And What does cause generally a disk herniation?

Does the scheuermann's disease cause disk herniation on the lumbar and kyphotic? And What does cause generally a disk herniation?

Yes: scheuermann's disease in an exagerated kyphosis. this "uneveness" in the spine will contribute to disk herniation. A disk herniation occurs when a disk loses it's water content, believed to be due to ongoing friction/trauma, it appears that some are more genetically prone to disk herniation. ...Read more

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Degenerative changes seen throughout the thoracic spine w disc space narrowing & osteophyte formation. + compression deformity of T12. In pain! Help!

 Degenerative changes seen throughout the thoracic spine w disc space narrowing & osteophyte formation. + compression deformity of T12. In pain! Help!

Sounds like: you may be suffering from Osteoporosis. You need to see a Spine specialist for complete evaluation ands a referral to Physical Therapy which offers your best path to recovery! Good Like Hope this helps! DrZ ...Read more

Dr. Bahman Omrani
352 doctors shared insights

Degenerative Disc Disease (Definition)

A condition that cccurs when the normal "spongy" structure of the discs (the cushions between the vertebrae in the spine) degenerates, causing ...Read more