Doctor insights on:
L4 L5 Spinal Stenosis
X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?
Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?
Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read moreSee 1 more doctor answer
What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum
Disc & Facet Issues: Looks like by the verbage you gave, your MRI suggests that you have disc herniation at L5/S1. "Central" just means in the middle of the spinal canal,"bilateral facet degenerative change thickening flavum" suggests arthritis of the facet joint and the ligament that protects the spine is thickened due to that arthritis. Protrusion is just another name for a herniation. ...Read moreSee 3 more doctor answers
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
Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read moreSee 1 more doctor answer
What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno
Increasing neurologi: Compression of the spinal cord can occur due to spinal stenosis. which will often cause pain in the back and or in the legs. This can further progress to muscle weakness, weaker legs and paralysis if not treated in time. You need to see a neurologist or a neurosurgeon to guide you in further managing this problem.. ...Read moreSee 3 more doctor answers
Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?
May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...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
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.
MRA report. Nonvisualization right A1 &P1 segment. Rt anterior cerebral artery. Congenital or acquired occlusion. What does this mean ?
MRA report: The correct thing to do is to ask the physician who ordered the test to explain the findings to you ...Read more
20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?
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
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
MVP: Marfan's syndrome is a genetic connective tissue disorder. People with marfan's are unusually tall, with long limbs, long thin fingers. The most serious complications are defects of the heart valves (like mitral valve prolapse) and aorta (aneurysms-dilation). Aortic root measurements greater than 1 1/2 times normal are worrisome (average 4cm or greater). ...Read moreSee 1 more doctor answer
What is the probability of bone growth 10 mnth post L3-S1 fusion after removal of growth stimulator&complete non-union at L3L4 with 2 loose screws L3?
See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more
Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?
Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read moreSee 4 more doctor answers
Yes: As long as it is not making your pain worse. ...Read more