Doctor insights on:
L3 L4 Nerve Pain
I have pain when sitting in butts seems like nerve pain. Dr. Wants me to try 4shots in facets L4 and L5 then maybe radio wave shot. I am not sure.?
See a neurologist: There can be many causes, including radiculopathy, facet disease, muscle strain/sprain, trauma, nerve injury, etc. See a neurologist to discuss the symptoms in detail and in order to undergo a neurological examination. Http://www. Nlm. Nih. Gov/medlineplus/ency/article/000686.htm, http://www. Webmd. Com/pain-management/guide/piriformis-syndrome-causes-symptoms-treatments ...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
Neuro dxme with 2 herniated/collapsed disc, L4 & l5, says need 2 level fusion. Back, nerve pain & numbness change b/w mod 2 severe. Chance of perm dam?
I had a microdisectomy about 9 days ago for L4-L5 herniation, I was wondering is it normal to still feel a little bit of pain in my upper leg, all my symptoms are gone I just have a little bit of nerve pain is that normal?
Normal≠Healthy only: Means usual. Any pain down leg a result of continued problems. However surgery rarely best option. What is? Relieve the pressure. How? Traction. Vertebra & disks under constant compression 24/7. This is what drives disk rupture, vertebral fx's in 1st place. Thus intermittent spinal traction/stretching the tissue to allow return blood flow & healing. Many ways; eg. 1 option upright inversion table. ...Read more
I have a L4-5 herniated disk with pinched nerve. Pain is ok with gabapentin. But I do not want to take medicine for ever. Should I go for surgery?
No Simple Answer: L4/5 herniated disk w/pinched nerve and pain will often - but far from always - respond to surgery. Factors such as exact location of disk material pressing on nerve root, weakness present (if any), exam findings like changed reflexes all matter. Minimally invasive techniques are helpful in some cases; others need surgery. A focused neurologic exam and a visit w/a neurosurgeon is a good plan ...Read more
Maybe: This depends on the extent of the impingement, and if other areas are involved. You can discuss with your physician these issues. I'm uncertain what kind of evaluation you have had, but I would discuss these issues with your physician ...Read more
What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?
I have a bluging Central disc L4/L5, I get nerve pain down certain bits of both legs and feet, comes and goes in the day, is this due to disc?
Yes: It most definitely can be from disc bulge. ...Read more
I'm pregnant can I use icy hot for sciatic nerve pain from l4-l5 buldging disc 18 weeks pregnant.?
Yes: There should be no problem in using that product. ...Read more
Nerve damage prior to s1-l4, alif. Sciatic pain replaced by nerve pain in feet, esp big toe. Is this permanent or from surgery? How long to recover?
Talk to surgeon: Need a diagnosis for new l 5 sympts after alif was this augmented with posterior instrumentation or stand alone alif if posterior instrumentaion used need ct scan to check screw postion could be disc pushed back into foramen or traction from distraction on a scarred nerve root some of these are correctsble some are not need a daignosis for new pain after surgery before prognosis can bediscerned. ...Read more
What is the lumbar procedure where the holes in the vertabra r cleaned out so nerves r not cramped coming out? L3, l4?
Foraminotomy: The holes are called foramen and the widening of them is known as foraminotomy. Keep the simple questions coming! ...Read more
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
If I have a pinched nerve n my L3 or L4 can this b corrected by decompression or physical & osteopath manipulation therapy? Achey pain n front thighs.
Lumbar Disk: 70-80% of lumbar disk herniations will improve without surgery, especially in a woman. Try to avoid activity which increases pain down your leg to allow the nerve an environment to heal faster. Rest, physical therapy, non and steroid medication, and traction (decompression) are all proven nonsurgical treatment options. ...Read more
How to get off Nortriptyline (120 days @ 4 x 10 mg nightly) - to allay pain - ruptured L3/L4 disk on exiting nerve root. Taper 5 x 30, 5 x 20, 5 x 10?
Can stop quickly: No discontinuance sx --can stop with no problems ...Read more
What is a right lateral disc extrusion at l3-l4 level that abutted the right L3 nerve root sleeve within neural foramen mean? I had spine MRI done.
Gm, MRI -l2-3 left lateral bulge L3 nerve effacement L4-5 large right central protrusion withL5 nerveroot efacement, L4-5 endpl. Depresion explain?
Yes: Surgical decompression can lead to neurologic symptoms such as this which if persist, worsen or are associated with any problems having bowel or bladder control see your surgeon immediately to rule out any further compression from a blood clot or hematoma or disc herniation. Otherwise, when there has been nerve manipulation during surgery, symptoms can occur and are usually transient. ...Read more
Is it normal to have numbness in groin/ buttock area 6 days after epidural steroid injection of l3/l4 nerve?
No: This is not the usual outcome check back with doctor a few hours of numbness is normal, buttocks dosent make sense for site of injectionl3-4 is front of thigh L3 can be groin. ...Read more
Bulging disc at l3-s1 w/ l4-5 herniation. Can mechanized traction irritate nerve and cause erectile dysfunction w/no prior issues? If not, what can?
Could relieving L3 & L4 nerve compression at l4-5 disc via mechanical traction therapy cause tingling in the penis/scrotum?
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. ...Read more
I had a fusion L3-S1 in Dec. My nerve pain came back & is worse & my lumbar spine pops. My PCP ordered a ct scan w/o contrast. What could be going on??
Pudenal neuralgia, ddd, fibroids, l4-l6 damage, chronic pelvic pain, cervical stenosis, cyst on ovary, cervical radidiculitis to name a few. Opioids?
At part of a pain: Control program, perhaps. Opioids should virtually never be the sole response to chronic pain. Neuropathic pain may respond to other treatments like gabapentin, Gabitril (tiagabine) and tricyclic antidepressants in low doses. Hormonal treatment may improve pelvic pain, myomectomy stop fibroid related problems. Opioids produce physical dependency, may cause rebound pain (hyperalgesia) and addiction in some. ...Read more
Nothing much: Facets are the left and right joints of the back of the spine present at each level such as L3-4 and L4-5. They contain fluid because as joints they need lubricants. Sometimes MRI can show this fluid. If there is only mild amount seen, it probably means very little. When there is a lot, we spine surgeons feel that there is possibly too much movement, perhaps inflammation, and possibly cause pain. ...Read more
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
Is adding on to a fusion of L4-s1 more painful than the initial surgery? Have to get l3/4 done and he said there may need to be revisions...
Unpredictable: The efficacy and complications of back surgery are unpredictable. They are an independent roll of the dice. The main determinant of how likely pain and other complications are to occur is how big the surgery. If one were very involed (like with additional steel hardware) and one were minimally invasive, the minimal surgery has minimal pain. ...Read more