Doctor insights on:
Fiber Type In Spinal Nerve
Small Fiber Neuro: Spinal cord stimulator has been shown to be effective in treating a number of chronic pain situations such as chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. There is also a case report showing the successful treatment of small fiber neuropathy with spinal cord stimulation from georgetown university. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Large fiber-beta: When sympathetic blockade stops the release of ne, nociceptor (pain) activation ceases. Management of sympathetically mediated pain may involve a series of sympathetic blocks leading to down- regulation of adrenoreceptors, thereby inducing long-term elimination of sympathetically mediated pain. ...Read more
You: Can try a diagnostic nerve block first to assure that that is the problem. Then a therapeutic steroid injection is worth a try before any surgical intervention if the diagnosis is made. ...Read more
Sciatica: The sciatic nerves arise from the branches of l4, l5, s1, s2, (racepinephrine) and s3. When these branches of these nerves come together they form the sciatic nerve. Because the sciatic nerve arises from each of these five nerves, often any one of these nerves can present also with the symptoms of sciatica. This nerve is considered a peripheral nerve, not a spinal cord nerve. ...Read moreSee 2 more doctor answers
Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read moreSee 4 more doctor answers
Yes: In some cases, marked benefits occur with infusions of ivig, and we know that diabetics who take metanx experience fibre re-growth and multiplication after about 9-12 months. If problem due to treatable condition such as celiac disease or sarcoid, might also see reversal. Uncover the precise mechanism of the disorder, and treat appropriately. ...Read more
How to relieve ritation of the lateral femoral cutaneous nerve\u0026#41; or central -- disc irritation of a nerve at the spinal cord at home?
Please clarify: I'm sorry, it is not clear from your question whether you have meralgia paresthetica from irritation of the lateral femoral cutaneous nerve or some kind of radiculopathy i.e. Nerve root irritation. Furthermore, what is the cause of this "irritation"? It's a basic principle of medicine that ailments are treated by addressing the cause. ...Read more
Would a lumbar sympathetic block help with small fiber neuropathy pain and burning of the lower extremities?
Neuropathy: I don't believe the block will help. I would however make sure you r/o reversible causes of neuropathy such as heavy metals (need to do provocative urine test), inflammation (c-rp 800), hypothyroidism (ft3>3.0). If not is found then i would take vitamin B12 1000 sl, vitamin b6 100 mg, krill oil, L-carnitine 1000 bid, vit d 5000 iu per day. ...Read more
Definitions: Small fibers which mediate pin and temperature sensations lack myelin, and are indeed pure axons, so the terms small fibre neuropathy or axonopathy are synonymous. Polyneuropathy usually refers to a larger fibre process which is distal bilateral and symmetrical, and can be either axonal or schwann cell predominant, and affects strength, balance, proprioception, and light touch. ...Read moreSee 2 more doctor answers
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
Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?
Yes and No: Compression of the spinal cord in the thoracic spine can cause bowel incontinence and is a medical emergency. Compressed nerves will not cause incontinence but can result in back pain or pain traveling into the ribs, abdomen or upper leg. Bowel incontinence is the most concerning symptom. Go see you doc. ...Read moreSee 1 more doctor answer
Pain Management: Is an epidural injection in the lumbar spine the same thing as a nerve block? Nerve block different than a denervation?
Did disectomy for l5/s1 disk herniation with loss of bladder.From nerve conduction doctor told the nerves in leg are regenerating. Is it a good sign?
Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?
Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more
RSD: is a clinical diagnosis. The EMG-NCS tells you if there is muscle loss form nerve root injury or if there is other confounding situations like compression of a nerve (in the wrist, ankle hand, elbow, knee) or multiple nerve dysfunction or even diffuse neuropathy. One can also identify lumbar sacral and brachial plexus injury by identifying a pattern of muscle involvement downstream. ...Read more
Is ilioinguinal nerve the same size as sciatic nerve?Saw mr neurography image of the sciatic nerve.Can ilioinguinal nerve appear that clearly on mrn?
Not likely: The sciatic nerve is anatomically larger than the ilioinguinal nerve. Mrn is not widely available. The ilioinguinal nerve is not as likely to be seen as clearly on mrn as the sciatic nerve. ...Read more
Herniated Disc: Herniated discs in the cervical (neck) region can compress the spinal cord, nerve leaving the spinal cord, or not compress either. If neurologic compression is present, pain radiating down the arm is a common complaint. Arm or leg numbness or weakness can also be present if spinal cord compression is identified. ...Read moreSee 1 more doctor answer