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Doctor insights on: L3 L4

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I would like to know what I should do about a large broad based disc at l3-l4. Help!?

I would like to know what I should do about a large broad based disc at l3-l4. Help!?

Disc protrusion: Talk to your spine surgeon and discuss your options. Unless your symptoms are referrable to this level, or the imaging findings are severe enough to warrant an interventional procedure or surgery, you may not have to do that much. Many disc protrusions are managed conservatively. They can regress on their own or remain stable for years. ...Read more

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What do you advise if i want to know what I should do about a large broad based disc at l3-l4. Help!?

What do you advise if i want to know what I should do about a large broad based disc at l3-l4. Help!?

Disc protrusion: Talk to your spine surgeon and discuss your options. Unless your symptoms are referrable to this level, or the imaging findings are severe enough to warrant an interventional procedure or surgery, you may not have to do that much. Many disc protrusions are managed conservatively. They can regress on their own or remain stable for years. ...Read more

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I've been diagnosed with spondylolthesis L3 L4 grade 1. My question is if i'm only grade 1 why is it so painful?

I've been diagnosed with spondylolthesis L3 L4 grade 1. My question is  if i'm only grade 1 why is it so painful?

Grade 1 spondylo: Most cases have minimal or no symptoms. Double check to make sure that there is no associated disc disease or other pathology and that it is truly grade 1. ...Read more

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Filum on L3 L4 is considered thethered cord?

Filum on L3 L4 is considered thethered cord?

Tethered spinal cord: Normally the cord or conus ends at L1-L2, if the ending at at L3-L4 then this by definition a tethered cord. A clinical evaluation by a neurologist would need to be done to see if this is a "symptomatic" tethered cord. ...Read more

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What are the best ways to treat mal-alignment of l3-l4 in lower back?

What are the best ways to treat mal-alignment of l3-l4 in lower back?

Majority non op: Typical mechanical back pain is treated without surgery 90% of the time with occasional use of otc medication, bracing & activity modification along with core strengthening exercises, flexibilty routines & cardio ones-other type is acquired spondylolisthesis with 70% getting same treatment. Surgery is a fusion +- laminectomy for this other 30%. Weight control & not smoking is important too.. ...Read more

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I have a small broad based central herniation at l3-l4 without stenosis. what is that and is it serious?

I have a small broad based central herniation at l3-l4 without stenosis. what is that and is it serious?

Disc: A neurosurgeon could advise you best after taking a history, performing a neurological examination and reviewing the mri images. I believe you should arrange such a consultation as it's important to avoid spinal cord damage and arrange for appropriate follow-up examinations. ...Read more

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I've been diagnosed with effacement of the ventral thecal sac on the l3-l4 level and along with some symptoms am wondering what this means?

I've been diagnosed with effacement of the ventral thecal sac on the l3-l4 level and along with some symptoms am wondering what this means?

Effacement: means thinning. Ventral means the front of the spinal cord. The thecal sac is the encasement of the spinal cord. Ventral thecal sac effacement is thinning of the covering of the anterior spinal cord at L3-L4. By itself, this finding is usually of little concern and requires no specific treatment This can be due to a protrusion of the intervertebral disc or arthritic change. Your Doctor can advise. ...Read more

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What type of aquatic exercises can I do for L3-L4 desiccation? I have a small portable inflatble hot tub that i'd like to use for this purpose

What type of aquatic exercises can I do for L3-L4 desiccation? I have a small portable inflatble hot tub that i'd like to use for this purpose

Aquatic Therapy: You should work with a physical therapist recommended by your physician to design a program for this tailored specifically to your individual needs. ...Read more

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I had a fusion of L3-L4 added to my L4-S1 Fuslon from Feb. When he got in he found out i had 4 loose screws & only 1/2 fused. What could cause this?

I had a fusion of L3-L4 added to my L4-S1 Fuslon from Feb. When he got in he found out i had 4 loose screws & only 1/2 fused. What could cause this?

Possible reasons ---: include, poor quality of bone, infection, weakened bone due to some lesions; and improper immobilization post-surgery or due to, too early mobilization of the surgical site. ...Read more

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I have congenital fusion of l3-l4 spine, I cant sit without supporting my back and stand for more than 15min, I get pain after that. Please advice me?

I have congenital fusion of l3-l4 spine, I cant sit without supporting my back and stand for more than 15min, I get pain after that.

Please advice me?

Back pain: Fusion in the lower area of the spine is common. If you are having pain limited to that area, a CT scan may be helpful with a referral to a back ortho specialist. There may also be physio that will help. All the best. ...Read more

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What does it mean that I have a small focal disc protrusion in l3-l4 which indents the thecal sac?

What does it mean that I have a small focal disc protrusion in l3-l4 which indents the thecal sac?

Disc protrusion: 40 percent of people over 30 without back pain have disc abnormalities on MRI. It is very important to make sure any findings fit with your symptoms. As there is no mention of compression of a nerve root is usually not a major issue. ...Read more

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I'm 19 years old and just had a microdiscectomy on the L3-L4 disc in my back. It's been a week since surgery how much longer should I wait for sex?

I'm 19 years old and just had a microdiscectomy on the L3-L4 disc in my back. It's been a week since surgery how much longer should I wait for sex?

Ask your doc: The resumption of any activity after a specialized procedure is best monitored by the doc who did the surgery. We have no way of knowing your basic history/exam and or additional parameters that would require caution. ...Read more

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How long does it take to recover from an epidural injection for l3, l4, and l5?

How long does it take to recover from an epidural injection for l3, l4, and l5?

5 min: Not sure what you mean. The injection is to calm down pain/inflammation at the various levels using a steroid as the anti-inflammatory. You should start feeling better in a day or so if the injection was done properly and you have a condition that is conducive to this type of therapy. ...Read more

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Just got told that my L3/L4 discs are touching bone to bone due to DDD and I was wondering what can be done to repair.

Just got told that my L3/L4 discs are touching bone to bone due to DDD and I was wondering what can be done to repair.

Varies: Depends in part on the nature and severity of the symptoms it may be causing. Degenerative disc disease in and of itself does not necessarily require treatment. It is seen in 30 percent of those over 35 years old and 90 percent over 60. If the symptoms warrant, there are a number of nonoperative treatments; and then if it is particularly severe surgery can be a consideration. ...Read more

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How long does it take for the steroids in an ESI to start working? How long for the temporary anesthetic to wear off? L3/L4

How long does it take for the steroids in an ESI to start working? How long for the temporary anesthetic to wear off? L3/L4

Epidural steroids: Normally they act in about 2-3 days but may take as long as 10 days to show the effect depending on the amount of inflammation. The local anesthetic wears off in 2-4 hours depending on which was used. If you continue to have numbness after such a procedure beyond a few hours, it is a concern and should be evaluated. Please see the physician who did your procedure. ...Read more

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I have had L4/L5 fusion 2 years ago. Now there are signs of severe damage to L3/L4 and L5/S1. What can I do to slow this damage down?

I have had L4/L5 fusion 2 years ago. Now there are signs of severe damage to L3/L4 and L5/S1. What can I do to slow this damage down?

Comments: There was a study demonstrating progressive arthritic deterioration above and below the site of fusion, and this seems to be your issue. Would definitely contact an expert spine surgeon but also get involved in aggressive rehabilitation program under supervision of expert physical therapy clinic. A physiatrist is also recommended. ...Read more

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I have hernia on l3-l4 and mild scoliosis, had physical teraphy and medical support.I am interested in modern/pole dance.Can I do or is it not adviced?

I have hernia on l3-l4 and mild scoliosis, had physical teraphy and medical support.I am interested in modern/pole dance.Can I do or is it not adviced?

Let me explain: To answer this question it is good to have the MRI for review, I do thing you can do it but the chance this may exacerbate this problem is there. Good luck. ...Read more

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Can calcification of the colon occur at the L3-L4 level?

Can calcification of the colon occur at the L3-L4 level?

Do you: really mean colon calcification or some other type of calcification? Colon calcification is not something that typically occurs. ...Read more

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Mri read l3-l4 there is early darkening of the facets.L4-l5 there is mild right facet degeneration.

Mri read l3-l4 there is early darkening of the facets.L4-l5 there is mild right facet degeneration.

Probably nothing: Mild facet "degeneration" (ie arthritis) is very common at that level even at your age. Darkening is probably meaning sclerosis, which also goes along with this, but is kind of an unusual way to describe it. ...Read more

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I have back pain and a injury to l2, l3, L4 L5 on my spine. What kind of exercise is safe for me to do?

I have back pain and a injury to l2, l3, L4 L5 on my spine. What kind of exercise is safe for me to do?

Depends on the injur: It depends on the severity of the injury. I generally recommend you avoid exercises that increase loading to your spine or impact activities. Thus, biking or elliptical machines or swimming are better than running. Also, no heavy weight lifting that loads your back such as squats. ...Read more

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I have a slipped disc in L3 L4 region what is the best way to get this fixed? Is a chiropractor advisable?


I have a slipped disc in L3 L4 region what is the best way to get this fixed? Is a chiropractor advisable?

Medication: See a specialist- Ortho, neurosurgeon for oral medication, possible spinal injection to decrease the inflammation.
A chiropractor would be an idea after getting a definitive diagnosis as manual medicine can be complementary to standard medical treatment. I would not use it as the only treatment. ...Read more

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Trying to understand MRI results of severe central canal and bilateral foramnal stenosisat L3-L4 and L2-L3 with compression of caudal nerve roots?

Trying to understand MRI results of severe central canal and bilateral foramnal stenosisat L3-L4 and L2-L3 with compression of caudal nerve roots?

HNP &/or bony spurs: Central spinal canal stenosis and/or neural foramina stenosis is usually due to disc herniation or bulge, degenerative bony hypertrophic changes, congenital spinal stenosis or any combination of these factors. Trauma and Tumors would be special cases. You do not say what is producing the encroachment. Bony changes come with age, wear and tear. Disc disease can occur at any age. ...Read more

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Got an MRI results what does it mean? Bilateral L2/L3-L4/L5 subarticular zone narrowing with degenerative changes contacting the descending L3-L5 nerv

Got an MRI results what does it mean?
Bilateral L2/L3-L4/L5 subarticular zone narrowing with degenerative changes contacting the descending L3-L5 nerv

Clinical context: This is a paraphrase of a radiology report. I don't have any other information about you. See a doctor to put this report into clinical perspective. Doctors come to diagnosis from a lot of inputs. This is just one phrase. Can be nothing to- can be pinched nerve. ...Read more

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L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

Facet Arthropathy: Could be facet arthropathy/arthritis. There are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you. While arthritis/arthropathy will not change, the pain can be reduced or eliminated. ...Read more

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I just got these MRI results on my back, can you explain in layman terms Impression 1. L3-L4 mild to canal stenosis with mild bilateral neural for?

I just got these MRI results on my back, can you explain in layman terms

Impression 
1.  L3-L4 mild to canal stenosis with mild bilateral 
neural for?

Read on !: MRI changes in neck and back are almost universal and do not need any particular treatment The clinical picture is more important and if severe or progressive symptoms exist corresponding to significant changes in the Mri ,and conservative management fails then something more dramatic such as injections of steroids (ESI) or surgical options may be necessary The canal width in neck and back m ...Read more