Doctor insights on:
L4 Nerve Root Compression Symptoms
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 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
What is the treatment for having 2 thecal cyst at s2 n a disc bulge at l4/l5 with annular fissure centrally. No nerve root compression or narrowing?
Annular tear: Best thing is to probably continue with conservative care, anti-inflammatories and a responsible exercise program that is flexion based. Extension puts more pressure on the back of the disc and it might make things worse... The cysts in the lower spine are probably benign tarlov cysts and they are typically not associated with pain. Remember, back pain does typically not improve from back surgery. ...Read moreGet help from a doctor now ›
Mri states severe bilateral neural foraminal encroachment with L4 and L5 nerve root compression . Have had esi no help severe pain gait and motoring issues.Spinal surgeon says see neurologist what sho?
Good First Step: As an anesthesiologist and internist, i completely agree with your surgeon. The first step is to evaluate your candidacy for either pt or transforaminal (ct- guided) injection before going to the slightly more invasive percutaneous, or open surgical, discectomy. It's wise to approach your condition "conservatively, " unless severe pain or loss of nerve function require more rapid action. No worries. ...Read moreGet help from a doctor now ›
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! ...Read moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
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?
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. ...Read moreGet help from a doctor now ›
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?
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. ...Read moreGet help from a doctor now ›
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