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Doctor insights on: L5 S1 Nerve Root Compression Symptoms

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Dr. Zachary Levine
Board Certified, Neurosurgery
22 years in practice
143K people helped
1

1
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. ...Read more

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Dr. Jonathan Jassey
Board Certified
11 years in practice
734K people helped
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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


Dr. Dariush Saghafi
Board Certified, Neurology
27 years in practice
11M people helped
2

2
Interpret-please.mild broad-based disc bulge L5-S1 may contact S1 nerve root emerging from dural sac. 2 nerve roots don't appear compressed.

Interpret-please.mild broad-based disc bulge L5-S1 may contact S1 nerve root emerging from dural sac. 2 nerve roots don't appear compressed.

Back pain: It means the person who got this done was complaining of back pain probably with some radiation down one of the legs or perhaps even both. Symptoms of numbness, tingling, or burning pain may also be part of this picture. The MRI report is suggesting there is a bulging disc, which is not a hernia, which may be causing irritation of nerve fibers while not physically squeezing them. ...Read more

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Dr. Jonathan Jassey
Board Certified
11 years in practice
734K people helped
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Dr. Qamar Khan
Board Certified, Pain Management
11 years in practice
6M people helped
3

3
Left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Means: that the facet joint at L5/S1 is in contact with the nerve root suggesting maybe the facet joint has some growth or arthropathy (arthritis/bone spurs) that could irritate the nerve and cause pain. Without more info hard to say anything else. ...Read more

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Dr. Tariq Niazi
Board Certified, Orthopedic Surgery
37 years in practice
2M people helped
4

4
Tissue compresses the descending left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Tissue compresses the descending left s1 nerve root within the lateral recess against the l5/s1 facet joint. What does this mean?

Means the Lt S1 nerv: e is pinched between some tissue and the bone behind the nerve root. Most likely cause is a Bulging or herniated disc causing this. See your Local Spine surgeon who can examine you and co-relate your clinical and MRI findings for you and chalk a plan of care for you. Good luck. ...Read more

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Dr. Jonathan Jassey
Board Certified
11 years in practice
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Dr. Salman Saeed
Board Certified, Neurology
27 years in practice
92K people helped
5

5
What treatment would you recommend for MRI results: Moderate size midline L5-S1 disc protrusion with mild effacement of the left S1 nerve root sleeve?

What treatment would you recommend for MRI results: Moderate size midline L5-S1 disc protrusion with mild effacement of the left S1 nerve root sleeve?

Lumbar disc disease: As with any ailment you need to get expert opinion. If you don't have any weakness in legs, sensory deficits or urinary issues then treating it conservatively would be appropriate at this time , taking Advil or Ibuprofen , Physical therapy , heating pad may help it if symptoms persist then see a Neurologist. ...Read more

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Dr. Pietro Seni
Board Certified, Orthopedic Surgery
41 years in practice
688K people helped
6

6
MRI L5-S1 level, posterior spurring identified. Osteophyte contacts S1 nerve root. Moderate to severe bilateral neuroforaminal stenosis. Suggestions?

MRI L5-S1 level, posterior spurring identified. Osteophyte contacts S1 nerve root. Moderate to severe bilateral neuroforaminal stenosis. Suggestions?

Transforaminal epidu: May try transforaminal epidural inyections(see a pain physician)along with some NSAIDs,however if not better surgery to decompress the foraminal stenosis may be your answer ...Read more

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Dr. Robert Masson
Board Certified, Neurosurgery
27 years in practice
173K people helped
7

7
L5-s1 level, mild broad-based posterior disk bulge, left sided laminectomy enhancing postoperative scar tissue abutting the left s1 nerve root means?

L5-s1 level, mild broad-based posterior disk bulge, left sided laminectomy enhancing postoperative scar tissue abutting the left s1 nerve root means?

Complicated: The scar, may or may not be the reason for the residual pain. If there is no pain, nothing to do, if pain is substantial, there are many factors which need to be considered, historically and radio graphically to understand the situation and to make decisions. ...Read more

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Dr. Mark Fisher
Board Certified, Neurology
28 years in practice
1M people helped
8

8
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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Dr. Leroy Fleischer
Board Certified, Internal Medicine
30 years in practice
169K people helped
9

9
L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?

L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?

Yes, but....: Having another surgery is an option, but you should try conservative treatment like physical therapy first if you are having pain. Every time that you have surgery, you create more scar tissue. Before proceeding with surgery again, you should get a second opinion from another neurosurgeon or orthopedist. ...Read more

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Dr. Michael Sparacino
Board Certified, Family Medicine
31 years in practice
143M people helped
10

10
Pain and weakness in the back of my left leg, mostly calve muscle. Is it piriformis sydrome or more likely l5/s1 disc bulge pressing on s1 nerve root?

Pain and weakness in the back of my left leg, mostly calve muscle. Is it piriformis sydrome or more likely l5/s1 disc bulge pressing on s1 nerve root?

See your doctor.: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more

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Dr. Jonathan Jassey
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11 years in practice
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