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Doctor insights on: L4 Transverse Process Fracture

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L2 L3 L4 transverse process fractures - 3 weeks ago after a fall from about 1.5m onto hard surface. Had X-ray and CT scan. Pain getting worse and afte?

L2 L3 L4 transverse process fractures - 3 weeks ago after a fall from about 1.5m onto hard surface. Had X-ray and CT scan. Pain getting worse and afte?

Followup: You would certainly want to discuss with your treating physician. You may need more aggressive a ways to control your pain or you may need further workup to see if there is any other component to your injury. Isolated transverse process fractures can be painful, but thankfully do not affect the stability and so usually do real well at some point. ...Read more

Dr. Abraham Jaskiel
792 Doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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One year after I fractured my L3 L4 transverse process I am having numbness and weakness in left leg. Is this a small problem or should I worry?

One year after I fractured my L3 L4 transverse process I am having numbness and weakness in left leg. Is this a small problem or should I worry?

Worry: Your symptoms indicate that you likely have a radiculopathy, which means a nerve root to your leg is not functioning correctly. This could be caused by a herniated disc caused by your injury, a piece of bone (either a piece of broken bone or a bone spur) or even a shift of the bones you injured (called spondylolisthesis) with respect to one another. See a board certified spine specialist. ...Read more

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I fell down from motorbike and got minor fracture in right transverse process of L2 to L4 of vertebra. Due to which back pains. What's recovery time?

I fell down from motorbike and got minor fracture in right transverse process of L2 to L4 of vertebra. Due to which back pains. What's recovery time?

Long time: Those fractures are not minor it takes quite a bit of force to break off a transverse process

it will take ~ 3 months for things to get pretty good. ...Read more

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Ct scan Fractured l1-l4 transverse process, showed an enlarged surahilar lymph gland 19x20mm & low density non specific nodule, what does this mean?

Ct scan Fractured l1-l4 transverse process, showed an enlarged surahilar lymph gland 19x20mm & low density non specific nodule, what does this mean?

Hilar Nodes: The CT scan is a very sensitive test and when they scanned your back, they are seeing Lymph nodes. This is supra hilar of what location, your lesion is unclear. D/W MD that ordered it, they are calling is nonspecific. May not mean much and at best can be followed in some time with a repeat imaging. ...Read more

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I fractured my L1-L4 transverse processes. After 6 weeks still having lots of pain, stinging in hip& buttock. Pain down leg. Is this normal?

Back Fracture: Fracture of the multiple transverse processes can damage structures adjacent or passing through this bony structure. Pain down legs suggests involvement of a nerve or nerves. This could be due to bony fragment, swelling, muscle spasm or nerve injury. A follow up visit with your doctor and possibly a repeat MRI or nerve conduction study to determine cause. ...Read more

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What is a non-displaced subacute fracture through remnant of L4 spinous process. Callus is developing?

What is a non-displaced subacute fracture through remnant of L4 spinous process. Callus is developing?

Not worrisome: Probably not a worry unless its below lamina and may start to compress the collection of nerve rootlets below it over time - sounds like you had a trauma in the past, there was a small fracture of the spinous process (which in and of itself might be painful for a few weeks but likely will heal and come to nothing) and now the healing is leading to some bone formation in the vicinity ...Read more

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Can a L3 L4 process fracture cause leg numbness a year after it happened?

Can a L3 L4 process fracture cause leg numbness a year after it happened?

Not likely: Assuming you had L3 and L4 transverse process fractures after an accident. Numbness in a leg a year later is more likely related to other factors (pressure or swelling on a peripheral nerve for example) although it is possible to have had a disc injury that us just now making its presence felt. Almost all transverse proc. Fxs. Heal uneventfully. See your md should the numbness persist. Gl! ...Read more

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What are the precautions of L4 back fracture? Plz reply detail!!!

What are the precautions of L4 back fracture? Plz reply detail!!!

Vertebral fracture: Optimally - wear spine brace (padded plastic, front and back) for minimum 2 months, 3 months best. Wear morning til night. Can sleep without. Minimal walking x two weeks. Only sit or recline. Cannot drive or bike. No lifting x 3 months, no sexual activity x 3 months, no domestic chores, no twisting, bending other than sitting and standing. Walk gently, slowly. ...Read more

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L4 fracture, bulging discs and deterioration of the hip?

L4 fracture, bulging discs and deterioration of the hip?

What is the question: You have not asked a question. See a rheumatologist or orthopedist for evaluation and treatment. ...Read more

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Can a 31 year old male go back to work when he fractured L3 fused L4 L5 spine work normal movement and?

Can a 31 year old male go back to work when he fractured L3 fused L4 L5 spine work normal movement and?

Hopefully: After healing, the bone should get back to normal strength. Recovery from a spine fracture and back surgery depends on the degree of injury, your own healing process, determination in rehabilitation, luck, and what type of work and activity you are trying to get back to!! I have patients who have returned to full normal activity in physically demanding jobs, but others were not able to. Good luck! ...Read more

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I had spondylolisthesis 4 times. I had a total of 7 fractures in my L5 and L4. I am 24 and have been told I am too young for fusion. What can I do?

Is it symptomatic?: Painless spondylolithesis if low grade can often be managed non operatively but if it is progressive and has neurological symptoms or has pain that fails conservative care surgery can be considered up to and including fusion ...Read more

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How long for L4 stress fracture to heal?

How long for L4 stress fracture to heal?

6-8 weeks: It should heal in the 6-8 week time frame, assuming there are no other complicating factors. ...Read more

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What will cause premature ejaculation in a 31 year old male thyroid removed fractured L4 L3 L5 spin?

If U R on adequate-: -replacement, not the cause even low or high thyroid levels would have no effect. Also compression fractures would have the opposite effect due 2 pain. C Ur PCP & look for the cause. ...Read more

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I'm 31-year-old male fractured spine L3 fused L4-L5 metal bars in his back would be good for me go back to work should I asked my doctor?

I'm 31-year-old male fractured spine L3 fused L4-L5 metal bars in his back would be good for me go back to work should I asked my doctor?

Ask doctor: By all means ask the doctor caring for you. In consideration are what your job involves and how well healed you are and what physical limitations this has left you with. ...Read more

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L4 wedge fracture, bulging throughout back, l3-l4 herniation. Awaiting surgical consult. What can I expect?

Lumbar. Fracture: Treatment depends upon whether the fracture is stable or not and amount of compromise of The spinal canal or neuroforamen. Expect a thorough physical exam, ct scan and MRI. If you already have some neuro compromise there may be use of medication to lessen the ongoing damage. Of course brace and activity limitation is critical ...Read more

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T11, T12, L1, L2, and L4 compression fractures since 4/24/2014 haven't healed yet! What can I do to heal my back?! Still in terrible pain!

T11, T12, L1, L2, and L4 compression fractures since 4/24/2014 haven't healed yet! What can I do to heal my back?! Still in terrible pain!

Hopefully U R Cing..: ...a spine surgeon. @ Ur age U must have had a very severe injury 2 Ur back. Proper eval @ Rx is directed by the type & severity of each Fx. Were they mild, what% collapsed, were any burst Fx, & were they deemed stable? @ Ur age aggressive Rx is usually considered. Minimal is a TLSO, max is fusion. Healing min 6-10 mos. Activity modification, take it easy & follow up frequently. ...Read more

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How to treat a fractured L4 and l5?

How to treat a fractured L4 and l5?

Take it easy: Most spine fractures will heal within 3 months with bracing, limiting strenuous activity and close follow-up with a spine specialist. Some fractures require surgical stabilization and kyphoplasty is an option for elderly patients with compression fractures. Check out spine-health. Com. ...Read more

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How long does it take hairline fracture of L4 vertebra to heal?

How long does it take hairline fracture of L4 vertebra to heal?

?: It depends on where it is. In certain areas of vertebral body an innocent "hairline" fx can lead 2 instability. B sure 2 c a spine surgeon 4 ur care. ...Read more

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I'm a 31-year-old male with osteoporosis and compression fracture L4 disk spine?

Unusual: It is very unusual for a 31 year old to have osteoporosis and so a full endocrine workup would be indicated to find the underlying cause.; otherwise you might be at high risk for further fractures. ...Read more

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Can a 31 year old male with osteoporosis do push ups and has metal bars from a L4 vertebrae fracture in his back?

Can a 31 year old male with osteoporosis do push ups and has metal bars from a L4 vertebrae fracture in his back?

Depends: I would sure check with your personal physician. If you have had a fusion at L4 and it is well healed, there are not typically any restrictions with that. Push-ups can usually be done in patients with osteoporosis as well, as long as it is not too severe. Your doctor would know more about your individual case. ...Read more

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I had capillary fractures of L1 &l2, retrolesthesis l1-l4 in '85. What nerves are running out of the spinal cord there. What parts would pain appear?

I had capillary fractures of L1 &l2, retrolesthesis l1-l4 in '85. What nerves are running out of the spinal cord there. What parts would pain appear?

Anterior thigh: The l1through L4 nerves supply the front of the thigh, with the l4nerve root also supplying the inside of the leg below the knee. Thank you for the question. ...Read more

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What is done if you have compression fracture of L4 vertebrae due to osteoporosis?

What is done if you have compression fracture of L4 vertebrae due to osteoporosis?

Supportive therapy: Usually, compression fractures heal with medication and physical therapy. Some fractures are treated with injections or surgery. ...Read more

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16 year old golfer with sports injury in his back in May 2016, re-injured July 2016 playing squash, 2 MRI's done. What might cause ongoing pain......?

Is there instability?: One consideration is to do flexing and extending xrays. If there is motion that would explain the persistent pain. The MRI can show a stress fracture but sometimes it is hard to tell due to motion artifact. Given the lack of agreement I would bite the bullet and get a SPECT bone scan. If negative then push forward with core strengthening with a physiatrist and physical therapist. If it is a stress fracture and it is not healing you could consider a bone stimulator as an off label treatment. I published one case where this was done successfully in a 17 year old elite gymnast. ...Read more

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Fracture L4 L5 sometimes it is difficult for me to walk especially left leg?

Check for weakness: After a spine fracture the nerves can be pressed or squeezed. Injections can often help, but sometimes you will need the nerve freed of compression surgically. Time to be checked by a spine specialist. ...Read more

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Hi dr. Here is my question one of my patient had retrolisthesis at L3 and L4. And there is compression fracture at l4.What can I do for her?

Hi dr. Here is my question one of my patient had retrolisthesis at L3 and L4. And there is compression fracture at l4.What can I do for her?

More info: It is important to interpret results in the proper context of clinical presentation. Since you have not given any details about your patient, s clinical history and exam, it is not appropriate to comment on the best management. ...Read more

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I have pain in my lower back bone, my report says"fracture of parts interarticularis at the level of L4 without anterolisthesis what can I do now.

I have pain in my lower back bone, my report says"fracture of parts interarticularis at the level of L4 without anterolisthesis what can I do now.

Depends: Another name for that condition is a spondylolysis. It is treated primarily based upon your symptoms. If you are not having a lot of problems with it, nothing necessarily has to be done. Options to treat it include medications, bracing, therapy, injections, or even surgery (rarely). Don't hesitate to be seen for it. ...Read more

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Could an L4 compression fracture be mistaken for an avulsion? Do they look alike on Xray?

Not really: Compression of body of vertebra with flattening or decreased height is compression fracture. Avulsion fracture is when piece of bone ripped off body of bone. Compression fractures often related to osteoporosis, trauma, and sometimes tumor. ...Read more

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Low back and extrem hip pain after laminectomy L4/5 two month ago Now Bilateral facet fractures found. Neurosurgeon want to fuse now. Is he correct?

Low back and extrem hip pain after laminectomy L4/5 two month ago Now Bilateral facet fractures found. Neurosurgeon want to fuse now. Is he correct?

I will: Defer on answering and hope a neurosurgeon comments on this. If you don't have any luck on HealthTap getting this answered, please seek another opinion by a new surgeon. This is acceptable and appropriate if you have any concerns. Best of luck to you! ...Read more

Dr. Jeffrey Wint
2,317 Doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more