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Doctor insights on: Facet Arthropathy And Ligamentum Flavum Hypertrophy

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Dr. Ki-Hon Lin
Board Certified, Orthopedic Surgery
19 years in practice
1M people helped
1

1
What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read more

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Dr. Vicken Poochikian
Board Certified
36 years in practice
2M people helped
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Hypertrophy (Definition)

Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more


Dr. Mark Fisher
Board Certified, Neurology
28 years in practice
1M people helped
2

2
MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

MRI RESULTS please interpret

Schmorl's nodes
T11-T12, T12-L1.

mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1
Mild Disc protrusion L5-S1

Don't panic: 1) The scan is not the pt; you are. 2) Operative word here is "mild." Those findings may cause no symptoms at all. 3) In medicine and especially in this sort of situation, 1 picture = 1000 words. Your doc ordered the scan for a reason. Look at the images with your doc and have them interpret them for you, or find you someone who can. You have a right to an explanation in terms you understand. ...Read more

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Dr. Vicken Poochikian
Board Certified
36 years in practice
2M people helped
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Dr. Mark Weston
Board Certified, Orthopedic Spine Surgery
25 years in practice
5M people helped
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Dr. Matthew Kozminski
Board Certified, Neurology
10 years in practice
603K people helped
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What is neural forminal hypertrophic vhanges of the ligamentum flavum bilataterally bulging of intervertebral disc and facet arthropathy?

What is neural forminal hypertrophic vhanges of the ligamentum flavum bilataterally bulging of intervertebral disc and facet arthropathy?

Anatomy: Not enough space here to write. If you google these things, you will find nice pictures to explain it all. Foramen is the "hole" in the bone where your nerve roots exit. Facets are the joints that hold vertebrae together. Ligamentum flavum is a ligament within the bones that runs down the spinal canal. All of these problems you mention can lead to back pain and nerve related pain. ...Read more

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Dr. Vicken Poochikian
Board Certified
36 years in practice
2M people helped
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Dr. Atif Haque
Board Certified, Neurosurgery
12 years in practice
635K people helped
5

5
What is bilateral facet and ligamentum flavum hypertrophy?

What is bilateral facet and ligamentum flavum hypertrophy?

Degeneration: Hypertropy of the facets and ligamentum flavum refers to the expansion of these structures in the setting of degeneration. These can cause stenosis (narrowing) with compromise of the nerves going to the legs, as well as back pain. ...Read more

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Dr. Michael Gabor
Board Certified, Diagnostic Radiology
27 years in practice
5M people helped
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Dr. Thomas Dowling
Board Certified, Orthopedic Spine Surgery
34 years in practice
15M people helped
8

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What is lumbar hypertrophic disease in facet joints and thickening of the ligamentum flavum?Mild-moderate facet hypertrophy L3-S1,lig flav thick L3-L4

What is lumbar hypertrophic disease in facet joints and thickening of the ligamentum flavum?Mild-moderate facet hypertrophy L3-S1,lig flav thick L3-L4

It means there are: Degenerative changes occurring leading to enlargement of the small joints of the spine (2at each level ) along with degenerative enlargement of a ligament that connects each segment or level of the spine that could eventually lead to an overall narrowing of the spinal canal which may lead to a condition known as spinal stenosis. Smoking, being obese & a family hx of arthritis can accelerate it. ...Read more

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Dr. Neil Ellis
Board Certified, Anesthesiology
7 years in practice
395K people helped
9

9
What should I do about l5-s1 mild bilateral facet arthropathy & hypertrophy?

What should I do about l5-s1 mild bilateral facet arthropathy & hypertrophy?

Interventional Pain: See an interventional pain physician. Radiofrequency lesioning has good results for facet arthropathy. ...Read more

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Dr. Douglas Linville II
Board Certified, Orthopedic Spine Surgery
24 years in practice
989K people helped
10

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I got an MRI 8yearsago. Finding are ... There is mild hypertrophy of l4-l5 and l5-s1 bilaterally. -impression: mild facet arthropathy same spots..

I got an MRI 8yearsago. Finding are ... There is mild hypertrophy of l4-l5 and l5-s1 bilaterally.     -impression: mild facet arthropathy same spots..

Mild arthritis: Abnormal MRI scans are more the norm, actually. As we age, just like wrinkles of the skin, the disks and joints of the back age and will show signs of arthritis. This does not mean pain. The vast majority of people with abnormal findings, in fact, are asymptomatic. In the absence of pain, really nothing further to do. These findings i would consider fairly normal for age. ...Read more

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Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more


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Dr. Vicken Poochikian
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36 years in practice
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