Doctor insights on:
L3 L4 Nerve Pain
Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?
Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...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
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
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.
Ongoing pain in neck and trapped nerve. After having a mri and xray it has been confirmed bulging disc between c5 c6. Surgery next option?
Cervical spine surge: Surgery should be your last option. More than 90% of damaged discs heal by themselves over time. For ongoing nerve pain and neck pain , you should get a cervical epidural steroid injection done by a qualified and experienced pain physician under x-ray guidance. Also start physical therapy as soon as you can to relieve muscular spasm. ...Read more
Back pain localized on lumbar disc. Pain on movement. No leg pain/numbness. Gait weakness. PCP refusing imaging. Pain meds, ice/heat not working.
Several ways: First line treatment is protecting the nerve from the insult or injury. This may include bracing or padding the elbow. Pt is also effective to treat restriction and inflammation and improve nerve mobility. Injection is another option. Surgery is last but only with confirmed nerve injury through emg/ncs testing. ...Read more
Local back pain from lifting weights. X-rays lumbar/pelvis/SI joint. Mild Ensteophyte formation at illiac crests. is this common? follow up needed?
Osteophytes are spurs: Osteophytes are bone spurs and accumulate with life and uncertain how much they are contributing to you back pain which can occur for lots of reasons - bone, disc, muscle, tendon, bursa etc. I suspect you had the osteophytes way before you were lifting weights. You need an evaluation for the reason you have back pain. ...Read more
Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?
Traction neuritis : I f your surgery was relatively recent (within 6 months) it should be considered a normal part of post op healing. When you yawn there is enormous stretch and strong contractions of various neck muscles that don't get this range of motion except when yawning. If you try yawning more frequently the scar tissue at the surgery site will loosen over time leading to less pull on the nerves causing pain. ...Read moreSee 1 more doctor answer
Severe stabbing pelvic pain in lower left side above pubic bone. pain is 8/10. Prior hysterectomy and cysts. Should I go to er?
Severe pelvic pain: Whenever you have severe pelvic pain after "Hysterectomy and cyst" if one ovary WAS LEFT BEHIND then you can have ruptured cyst or problem with cyst as torsion or ruptured of cyst which will present as your complaints, other lower GI or GU pathology not able to rule out. If persisted over 24 to 48 hours you should see your Dr. ASAP. Best of luck. ...Read more
2Tarlov cysts at S2 (racepinephrine) 17X15mm and 14X13mm causing scalloping of bone. Feel head and ear pressure. Need surgical removal? Any other treatment methods?
Tarlov cysts: Hello, these are benign perineural cysts or cysts in between the coverings of the nerves, usually found co-incidentally at MRI of low back. Yours are 1.7cm and 1.5cm and are small by comparison. These should not be symptomatic, let alone need surgery, your head and ear pain probably unrelated. But see an expert ~ a neuro-surgeon to ask ! thanks ...Read more
Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?
?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more
Can my obturator canal hernia cause pudendal nerve entrapment symptoms? Are they close together/ can I talk about this nerve with my general surgeon ?
Can trigeminal neuralgia cause facial sensitivity on one side lasts all day, with globus sensation and jaw pain, with one-sided finger joint pain?
Do I need surgery for a Bulging disc compressing on thec sac, I have intermittent nerve pain in legs ?
Bulging disc: Just having a bulging disc dose not mean surgery. Your pain is intermittent only - what matters is are there ant other features (weakness, sensory deficit etc...) and how bad the pain is in terms of what you can and cannot do. ...Read more
45 yr old f, sharp persistent pain under right shoulder blade, radiates to front of body, feels "tight" and shifting causes the pain, +4 days? What might be the cause, how serious?
Needs evaluation: Pain in the chest can be musculoskeletal like a pulled muscle or a cracked rib but can also be from inflammation of the pleura (the covering of the lung) or even a problem in the lung like a pulmonary embolus. This could be serious but may not be. You should have a medical evaluation. ...Read moreSee 1 more doctor answer