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Doctor insights on: L4 L5 Spinal Stenosis

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Dear sir, I am sufferning L4 l5, s1 spinal stenosis what should advise me. Thnks?

Dear sir, I am sufferning L4 l5, s1 spinal stenosis what should advise me. Thnks?

Epidural steroid: To start get a esi if this helps but dosen't last then laminectomy has a high sucess rate at relieving leg pain with standing or walking backache different story. ...Read more

Dr. Thomas Dowling
757 Doctors shared insights

Spinal Stenosis (Definition)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, ...Read more


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I have large left posterolateral disc herniation at l4-5 extending inferiorly and compressing on left l5, moderate central spinal stenosis. Help?

I have large left posterolateral disc herniation at l4-5 extending inferiorly and compressing on left l5, moderate central spinal stenosis. Help?

Surgery is an option: If you have failed conservative treatment by 6-8 weeks than surgery is an option. Excruciating sciatic type pain from this type of herniation would be well treated with surgical intervention if you cannot tolerate your symptoms. As always, surgery as a last resort. See you orthopedic spinal specialist. ...Read more

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Have pain in left groin &hip aggravated by sitting. Have spinal stenosis severe in L4'L5. Started 20 days ago after long car ride. Can back cause?

Have pain in left groin &hip aggravated by sitting. Have spinal stenosis severe in L4'L5. Started 20 days ago after long car ride. Can back cause?

Yes: Yes sitting long periods of time can inflame a lumbar region that as severe spinal stenosis. The pain in your hip and groin can be from aggravated nerve roots. You can try McKenzie Back exercises. If it doesn't resolve, then seek medical evaluation. Back pain that causes numbness around rectum, foot immobility or bladder incontinence needs immediate attention. ...Read more

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Just looked at med records for ongoing pain, have spinal stenosis, l4 l5 herniated discs which have been causing leg pain. How can I heal/treat this?

It depends on: Severity. Given your age, I would recommend conservative management with physical therapy, strengthen core muscle, medication to treat neuropathy, etc. For moderate to severe condition various kinds of epidural injection and various surgeries. Discuss with your provider in detail. ...Read more

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Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems? Options I may ha

Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems? Options I may ha

Depends: If you are having weakness in leg related to this, and surgery might be considered, then it is better not to wait as fixing it after delay might mean permanent weakness, if this is pain and other symptoms like numbness you can tolerate or manage conservatively, then the delay is not likely going to threaten your functioning. ...Read more

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What are treatments for a person who has spinal stenosis near l5, l4. My dr. Gave me a steroid injection. What else can be done?

What are treatments for a person who has spinal stenosis near l5, l4. My dr. Gave me a steroid injection. What else can be done?

Spinal Stenosis: 60% of patients respond to physical therapy, specifically traction. 30% respond to meds, including oral and injected steroids. 10% require surgery when pain is intractable and failed to respond to the other treatments. ...Read more

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48 yr old post laminotomy for severe spinal stenosis, 5 orthopedic surgeon indicate double fusion, but will never do it, l3, l4, L5 degenerated?

48 yr old post laminotomy for severe spinal stenosis, 5 orthopedic surgeon indicate double fusion, but will never do it, l3, l4, L5 degenerated?

Depends: All spines degenerate but not all spines then need a fusion. There would have to be another reason like an instability that can develop after prior spine surgery. Sometimes ongoing degeneration after a prior laminectomy leads to restenosis due to further facet & disc degeneration & a repeat decompression where there is a chance of destabilizing the spine by further bone removal requires a fusion. ...Read more

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My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? ...Read more

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I have MS and spinal stenosis. Emg shows l5-l4-s1 compression of nerve root. Orthopaedic surgeon won't do the surgery without neurologist ok.?

I have MS and spinal stenosis. Emg shows l5-l4-s1 compression of nerve root. Orthopaedic surgeon won't do the surgery without neurologist ok.?

Cautious: I would guess the surgeon is being cautious to make sure that the neurologist agrees that surgery will help the problem. Stenosis of the spinal canal is different than neuroforaminal stenosis. Emg is usually normal in canal stenosis and is sometimes helpful in neuroforaminal stenosis. Just because you have something wrong on EMG and MRI doesn't mean surgery is the answer. Ask twice, cut once. ...Read more

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I had back surgery back in december. A lumbar decompression due to spinal stenosis at l4-l5 level. I also have a bulging disc at the same level that they did a microdisectomy on. I continue to have severe burning pain down my right leg all the way to my

I had back surgery back in december. A lumbar decompression due to spinal stenosis at l4-l5 level. I also have a bulging disc at the same level that they did a microdisectomy on. I continue to have severe burning pain down my right leg all the way to my

Need further workup: May be due to continued nerve entrapment in terms of residual spinal stenosis, a recurrent disc herniation, scar tissue development about the nerve or neuropathic pain related to the nerve not fully recovering from the prior compression &/or related to its manipulation during your surgery or a combination of these. A MRI with contrast is best diagnostic test for this & possibly an emg/ncv test. ...Read more

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Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Ummm....: Let me see if I can translate your post into English: You have bony and disc abnormalities in your lumbar spine and also some hematological abnormalities. Is that the correct rendering? The two have nothing to do with each other. Did you ask the question of your doctor? (I recommend that in future you have a native speaker of English check your question before you post it.) ...Read more

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Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?

Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary. ...Read more

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I have severe numbness in the 3 smallest toes and the ball or pad section it's connected too. I have severe spinal stenosis and had a distectomy on L5?

May be spinal stenos: This numbness may be from the spinal stenosis. If it is new you will need to do neurological testing and imaging with MRI to see if there are new neurological lesions ...Read more

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Could spinal stenosis or scar tissue be a cause for post L5 s-1 fusion patient to have numbness and tingling in feet then to buttocks and groin.?

Could spinal stenosis or scar tissue be a cause for post L5 s-1 fusion patient to have numbness and tingling in feet then to buttocks and groin.?

Yes: Spinal stenosis can lead to these symptoms and postoperative spinal changes can as well whether related to "scar tissue" or not. This causes symptoms from buttocks down to feet. If symptoms are going up leg from feet it may be a neuropathy or related to nerve changes in leg rather than in spine. You can have this evaluated and an emg/ncv or nerve test may help to distinguish source. ...Read more

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Diagnosis sever spinal stenosis. Had lamenectomy last year on ruptured L5 after loss of bladder control. Could it be related?

Could be: Severe lumbar spinal stenosis (occuring from large herniated discs, & other compressive pathologies), could result in compression of the nerve roots below the level of your spinal cord -- called your cauda equina. This could then result in bladder/bowel dysfunction. Your surgeon likely did the laminectomy to relieve the compression of your cauda equina so as to prevent the problem from worsening. ...Read more

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I had an MRI - says L4-L5- Disc buldge with superimposed central disc protusion. Severe spinal canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. A chair broke and I collapsed on back.?

Pinched nerve: Spinal stenosis is one way to say you have a narrowing or "pinching" of your nerve canal, in your case it is severe. The cause of the pinching is at least in part from a disc protruding into the nerve canal (herniated disc) which could potentially have occurred in the injury on the chair. I would not hesitate to be seen, many good treatment options available. ...Read more

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I have spinal stenosis. Had a total decompression operation in 2007 (L5- S1). Canal is narrowing again. Should I try interthecal steroid shots?

I have spinal stenosis. Had a total decompression operation in 2007 (L5- S1). Canal is narrowing again. Should I try interthecal steroid shots?

Tough situation: Repetitive surgery has significant limitations, including post-operative arachnoiditis and scarring. Might be worth a try to use the shots, but unfortunately, these, at best would be short term benefits. Another option is to use McKenzie Back Exercises, and can be taught by a physical therapist. ...Read more

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I'm 5'4, 145lbs, size 36dd. Is there any possibility my boobs contributed to my herniated disc at l5-s1 and spinal stenosis? Would reduction help?

I'm 5'4, 145lbs, size 36dd. Is there any possibility my boobs contributed to my herniated disc at l5-s1 and spinal stenosis? Would reduction help?

Unlikely: The most common area for back pain due to large breasts is the mid back. It is possible to have low back pain but your area is an unlikely location for breast induced back pain. The only treatment shown to make a long term difference for your problem is a daily home back physical therapy program. ...Read more

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Just diag congenital spinal stenosis. Bulging disc at c2-3, c3-4, c4-5, c65-6. Hern disc at c6-7, t10-11, l4-5. How serious is it short and long term?

Depends on symptoms: Congenital stenosis is narrowing of the space for the spinal cord in your neck that you were born with. If you have no nerve symptoms (numbness, tingling, weakness, hand clumsiness, unsteady walking) just be careful; avoid situations that could lead to injuring your neck (and spinal cord): climbing ladders, running yellow lights, having obstacles around to trip over. If you do have these see a doc. ...Read more

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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?

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?

Quite possible: It's definitely possible. An epidural steroid injection or spinal cord stimulator may help tremendously.

But first, one would have to be properly evaluated by a spine specialist (pm;r, orthopedic spine surgeon or neurosurgeon) and diagnosed with that. ...Read more

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I have spinal stenosis L4-5. Plus spinal stryrinx T2-8. Symptoms have changed pain in leg run down r side of now down back feet numb while sitting up.

Your question is???: You have not asked a question but those symptoms strongly suggest you need a neurologic evaluation as soon as possible. ...Read more

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Mri shows disc protrusion at l5-s1. Mod. Central spinal canal stenosis throughout L spine. Mod degrees of neural forminal stenosis at l4-5 an esp l5-s1?

Degenarative disks: The cartilage disks that cushion vertrebrae, (which are the bones protecting the spinal cord), have degenarated. Usually from wear - tear, the central portion loses water, which causes outer portions to bulge out and press upon surrounding nerve structures. The foramina are tiny holes from which nerves exit the spinal canal which is main space spine sits within vertebral cage. Tends to cause pain ...Read more

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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.

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. ...Read more

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Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

You're the patient..: ...not the MRI. You didn't just wander into an MRI facility one day & make an impulse purchase. You saw a doctor with symptoms & signs and that's why an MRI was done. You need to repost with WHY you got the MRI. ...Read more

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Can l4-5 spinal stenosis + left sided herniation cause muscle spasm in both legs? Why do I feel weakness in leg as it twitches?

Yes: Spinal stenosis generally causes diffuse weakness in both lower extremities and get aggravated with activity. Leaning forward as you would on a bike or sleeping in a fetal position flexes the spine and generally alleviates the pain from stenosis.

You appear to have a one level disc herniation which would cause numbness, weakness, spasm in the muscles that are innervated by that nerve root. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Ihab Ibrahim
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more