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Doctor insights on: L4 Nerve Root Compression Symptoms

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The major focal abnormality is a right posterolateral disc protrusion at l4/5 with some thecal and right L5 nerve root compression. Pls explain?

The major focal abnormality is a right posterolateral disc protrusion at l4/5 with some thecal and right L5 nerve root compression. Pls explain?

Bulging disc: It says that there is a bulging disc at level of L4-5 in your spine. There is some pressure on the nerve root, which is probably causing your back pain and nerve issues locally to that area.

Nerve (Definition)

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


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Follow-up q: extra foraminal disc herniation at l4-l5 level. Mild compression of exited l-4 nerve root. Would this need surgery?

Follow-up q: extra foraminal disc herniation at l4-l5 level. Mild compression of exited l-4 nerve root. Would this need surgery?

Possibly: If u are having pain down your thigh or leg, or weakness in the leg and it is not improving then surgery is an option. However, if this is an MRI DX and you have minor pain, you shouldn't require surgery. Even w/ radicular (down the leg) pain non- operative treatment should be tried first (lb exercises, nsaids, epidural steroid injections)...Sometimes if u can " wait it out"... It will go away!

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Hi, impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Hi, impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient.

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I got prob in my back MRI repor It says L4 L5 are narrowing n pressing nerve root what should I do N can ido jogging or running in this condition?

I got prob in my back MRI repor It says L4 L5 are narrowing n pressing nerve root what should I do N can ido jogging or running in this condition?

Varies: You are describing the typical degenerative changes that can occur in the spine, usually beginning in the 30s. There is no set activity restriction. Ideally you would stay active but avoid activities that clearly aggravate it. Keep your core strong, avoid smoking, keep body weight in check.

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The surgeon nicked my nerve root L4 L5 and I have severe parylsis, he hit the nerve root exit and damaged it is it surgicaly repairable. Failed fushi?

The surgeon nicked my nerve root L4 L5 and I have severe parylsis, he hit the nerve root exit and damaged it is it surgicaly repairable. Failed fushi?

No: An injured nerve will not require surgery unless they is residual compression on the nerve. If there is no compression, it will need time to heal. It could take up to a year or more in some circumstances.

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What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

Pain generator: This could be causing the left sided sciatic symptoms. Usually need to know more and do an exam to make sense of the pictures.

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Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces Need operation?

Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces Need operation?

Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help.

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At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?

L5 radiculopathy: This sounds like an MRI report. There is anatomical evidence of the left L5 nerve root being irritated. This may cause numbness of the lateral lower left leg, weakness of bending the ankle upwards, and possibly a tingling or burning sensation.

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Is severe nerve root damage surgicaly repairable at the L4 L5 nerve root with paralysis of the inner left leg.?

Nerve injury: The L5 nerve root exits at the l4/5 level and is responsible for raising the foot and big toe. The nerve can be be repaired but the recovery can be months. In addition to nerve cream, a tens unit, neuropathic oral medications, and a trial of spinal cord stimulation can used to relieve or eliminate the pain. See a neurosurgeon for evaluation.

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I had an MRI that shows mild degenerative changes at l4-l5 w/ broad based disc posterior protusion inoving l5 nerve root. Would steriod injection help?

The anatomy: Is not as indicative of steroid injection helping as the course of the pain. Steroids are anti-inflammatory. If there is sudden, incapacitating pain, it might be inflamed. If it is steady, chronic pain, it is not as likely taht an anti-inflammatory will do anything.

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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.

Not much wo thigh pa: If you have anterior thigh pain it may mean a L3 nerve root radiculopathy with such a far lateral disc herniation. A nerve root block at l3-4 would treat that usually.

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L4-l5 large extrusion left subarticular foraminal. Severe compress left traversing L5 nerve root posterior displaced left lateral recess y no surgery?

Pinched Nerve: Depends. How long the nerve has been damaged and the clinical signs you have. Can't be more precise without additional information.

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I have herniated discs at t10-t12 and l4-l5.And a herniated disc at s1 which is encroaching s1 nerve root. Can it get better? Its been 6 yrs

May recede: Herniated discs may or may not recede over time. Their presence on MRI does not indicate that they are causing signs or symptoms. The significance requires correlation with history and examination.

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I am 42 years old male, 168 cms, 72kgs, with l4-l5 disc prolapse putting pressure on nerve root, presently moderate pain in waist area, no pain in legs?

It will get bettter: I would reccomend either a good home exercise program or to start a good physical therapy program. If you start developing pain down one of your legs, then you may be a candidate for a series of epidural injections in your back. Many people will improve in 6-8 weeks with conservative care of nsaids, therapy/exercises, heat/ice, and activity modification.

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Conjoined l5/s1 nerve root on rt side after spinal fusion. Scarring in the spinal canal at l4-5 especially on the rt side intervertebral foramen?

Conjoined l5/s1 nerve root on rt side after spinal fusion. Scarring in the spinal canal at l4-5 especially on the rt side intervertebral foramen?

Conjoined nerve root: A conjoined nerve root is a congenital condition. It cannot be acquired from surgery. It does make surgery more difficult and the patient may be more prone to radiculopathy or nerve root problems. The larger nerve root sleeve that contains to spinal nerve roots is more easily injured.

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I have L4/5 cauda equina nerve root nodule; biopsy needed - Can spinal tumor cause skin changes; enlarging dark blotches on that area of back/spine?

Yes it can: Depending on what the spinal nerve nodule is. A skin disease can cause the nerve nodules just as nerve nodules can cause skin changes