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Doctor insights on: L3 L4 Mild Facet Arthrosis Of Facet Joint

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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet (joint) injections, but surgery may be an appropriate option at the appropriate time.

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


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L3/4 L4/5 disc bulges & facet joint deg L5/S1 indent spinal cord, disc contact nerve root lateral recess & facet joint deg Can body twist worsen this?

L3/4 L4/5 disc bulges & facet joint deg L5/S1 indent spinal cord, disc contact nerve root lateral recess & facet joint deg Can body twist worsen this?

Clarification: Sounds like you possess lumbar spondylosis and degenerative disc disease, and indeed there may be some degree of lumbar root compression. (Spinal cord ends at L-1, 2 and there is no effect on cord). Learn McKenzie exercise protocol, do it multiple times weekly, be cautious with heavy lifting, work with a good physical therapist, and learn proper body mechanics.

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What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed.

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Mild facet hypertrophy, lig flav thickening L3-L4, mild facet hypertrophy L4-L5, moderate facet hypertrophy L5-S1.Will joints deteriorate more? Outlook?

Mild facet hypertrophy, lig flav thickening L3-L4, mild facet hypertrophy L4-L5, moderate facet hypertrophy L5-S1.Will joints deteriorate more? Outlook?

Spine MRI?: Facets are the "joints" between the vertebra in the spine. Facet changes refer to degenerative bone process that can be a normal part of the aging process. After a certain age we all have them, me included.

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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.

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I'm a 42 years old male, my recent MRI indicates a 3mm cystic fluid collection identified adjacent to the right facet joint l4-l5.What should I do?

I'm a 42 years old male, my recent MRI indicates a 3mm cystic fluid collection identified adjacent to the right facet joint l4-l5.What should I do?

Is it causing pain?: If the fluid collection is asymptomatic, then I would leave it alone. If the collection is causing symptoms, then I would have it evaluated by a radiologist or pain specialist. Given the size of 3mm, it is likely asymptomatic, or not the cause of any significant pain. If pain worsens, you can get a follow up exam.

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My primary tells me that I have two herniated discs based on MRI (l5, l4). My Physiatrist tells me its my facet joint which is the issue. What is it?

Can be both: Degeneration of the discs can be associated with facet changes also and it is challenging to isolate the cause of pain in this situation.

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MRI report-Bilateral facet arthropathic changes with ligamentum flavum hypertrophy involving L3/L4 to L5/S1 joints. Please interpret. How serious is it? How can it be treated? What could be the likely cause for this condition?

MRI report-Bilateral facet arthropathic changes with ligamentum flavum hypertrophy involving L3/L4 to L5/S1 joints. Please interpret. How serious is it? How can it be treated? What could be the likely cause for this condition?

Spinal stenosis: The technical term for what you have is called degenerative lumbar spinal stenosis and it is an arthritic condition. It can be asymptomatic or can cause problems with prolonged standing and walking. Patients will often lean forward when they walk and you can often see them at the store leaning on to a grocery cart. Many good treatment options available, don't hesitate to be seen.

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Causes of fluid at facet joint l3-4 and l 4-5 level in male aged 31 years old with mild degenerative changes with small Schmorls nodes at l 1, l 2, l 3?

Causes of fluid at facet joint l3-4 and l 4-5 level in male aged 31 years old with mild degenerative changes with small Schmorls nodes at l 1, l 2, l 3?

Back pain: Fluid in the facet joints is caused by inflammation of the joint. The degenerative changes of the spine and schmorl's nodes are typical of arthritis in the low back. Lumbar levels L3/4 and L4/5 are the most common location for arthritis to begin. Most cases of spinal stenosis originate in this area. Do daily back exercises and avoid tobacco products to reduce pain and improve back function.

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Can you tell me what is bilateral facet joint arthrosis?

Can you tell me what is bilateral facet joint arthrosis?

Spine Joints: Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise here and cause pain. Sometimes this inflammation results in extra fluid in the joint that aggravates the joint, that is the effusion. Suggest seeing a spine specialist to get help with either steroid injections or PRP to help strengthen ligaments.

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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.

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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.

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I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?

Mild Back arthritis: Degenerative changes of spine all above findings are 30% asymptomatic may or not be cause of your symptoms. Now you have a more detailed list of suspects to investigate with a spine specialist.

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5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

Degenerative Disease: What you are describing are arthritic changes in the lumbar spine, what question are you asking, as I am unclear as to what you want to ask!

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MRI: L3/L4-disc bulging abuts thecal sac, superimposed facet degenerative changes, loss disc height. Could my L4-S1 fusion have made worse?

MRI: L3/L4-disc bulging abuts thecal sac, superimposed facet degenerative changes, loss disc height. Could my L4-S1 fusion have made worse?

There is a condition: Known as adjacent segment disease in which a fusion may lead to altered spine mechanics and place increased load on the next adjacent spine segment but there may also be a genetic basis for this -it may also be due to smoking as well as to being obese. May need to also focus on core strength ending exercises but talk to your surgeon too

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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.

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Best way to treat facet osteoarthritis on my l2-l3, l3-l4, l4-l5 & l5-s1 discs?

Best way to treat facet osteoarthritis on my l2-l3, l3-l4, l4-l5 & l5-s1 discs?

Exercise: With the more levels involved, the less likely surgery will help so exercise, weight control, smoking cessation- if applicable -can help. Avoid prolonged positions like standing or sitting that will aggravate the symptoms. Use of tylenol (acetaminophen) or anti-inflammatory medication can benifit as long as there is no medical reason not to use them. Pain management may help- facet blocks, etc..

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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