Doctor insights on:
How Serious Is It To Have Spinal Stenosis With Degenerated Disc
Depends: Can be very or not at all. Depends on the degree of stenosis and whether it is central or at the opening where the nerves exit the spinal canal (called the neuroforamen.) after age 23 most of us have some degenerative disc on imaging. It doesn't predict your level of pain. If you take 100 forty year old americans with no back pain at all, at least 30 of them will have "bulging discs" on mri. ...Read moreSee 2 more doctor answers
Can be serious: Stenosis is an objective finding on imaging studies, like an mri. However the symptoms of lumbar stenosis determine how severe it is. It can be as mild as occasional pain or numbness radiating down the legs, to severe weakness, pain and numbness that worsens with walking. Depending on how severe the pain and disability is, determines the treatment. ...Read moreSee 3 more doctor answers
How do I know if it is a bone spur or if it is a bulging disc that is impinging a nerve root? I have both with moderate foraminal stenosis in C6/7
The CT/MRI CAN TELL: A compression of a nerve root in the neck can be caused by different problems; generally the imaging studies can determine the specific reason. The CT is better at defining bony contours and can generally tell if a spur is compressing a nerve (or not). The MRI is better at defining soft tissue contours and would be able to determine if a disc (soft tissue) is compressing a nerve. ...Read moreSee 1 more doctor answer
Is it safe to do pull ups with degenerated and bulging lumbar discs? Would it cause more degeneration?
No: Unlikely from a bulging disc. Usually occurs after surgery or procedure to spine. Also can be if there was a history of spinal infection. ...Read more
Easy question: It's YOUR call. The best way to handle this (surgery for low back/sciatica pain works the same) is to keep following conservative measures (meds, aquatherapy/PT, thermal therapy, etc.) until as Popeye says, "I caint takes it no more!" Pain, numbness/tingling will drive you to the point where you'll be PLEADING for the surgeon. Then, it's time. Weakness/atrophy in Upper Extremities? - Do it NOW. ...Read more
Varies from not at : This varies from not at all to very serious. Treatment ranges from none to use of medication, exercise and sometimes epidural steroid injections to surgery. The only serious condition is when the stenosis leads to compression of the spinal cord leading to a condition known as a myleopathy. ...Read moreSee 1 more doctor answer
Need more info: Lumbar disease usually cannot cause myelopathy. Myelopathy is compression of the spinal cord or an intrinsic brain disease. The spinal cord ends at about L1 (the upper most part of the lumbar spine) in most patients so lumbar disease (meaning the lower back area) doesn't cause spinal cord compression. A more specific question may be more helpful. ...Read moreSee 1 more doctor answer
It is rare: In most people, the tip of the spinal cord is at the bottom of l1, the first bone in the lumbar spine, so all lumbar disk herniations miss the spinal cord, even large ones. There are some folks with tethered cords, so the spinal cord is elongated. Since the tether can cause the cord problems, in such cases a large disk herniation could be double jeopardy. This is rare but serious. ...Read more
Is it common for a 29 yr old to have thoracic spondylosis without myelopathy and degeneration of lumbosacral intervertebral disc issues? Treatment?
Not very common: not very common in my experience. Any hx. of trauma? Otherwise, typically conservative tx. PT, etc. ...Read more
What is the difference between spinal stenosis and central canal stenosis and which is more serious. How debilitating will it get already pain daily?
What causes reversal of cervical lordosis and how serious is it combined with DDD , Stenosis and herniated discs ?
My MRI says "spinal cord contact". Does it cause pain if an osteophyte or a disc touches the spinal cord with mild spinal canal stenosis? Thank you.
How can one have cartoid stenosis and be okay after cta. Also how can one have cartoid stenosis and not have spinal stenosis? How is spine stenosis tr
Autoimmune disease: Lupus usually does not directly effect the spine or disks. There are pains, myalgias associated with lupus. In general lupus is not a direct player in spinal joint issues. Lupus can effect the spinal cord and brain, but this is a completely different matter and generally does not cause pain. ...Read moreSee 1 more doctor answer
Is it possible to have a lumbar MRI that looks "terrible"-trefoil canael, degenerated discs and herniation- but be not pathological at all?
I had anterior/posterior fusion l5-s1 in 2001. Spinal stenosis and ddd herniated disk l3/4 in 2009. Is it possible to now be developing arachnoiditis?
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