l5 s1 nerve root compression symptoms

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Dr. Zachary Levine answered:

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

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

Facet nerve anatomy

Joints
This could be a normal position for the nerve to be. As the nerve exits the spinal canal, it courses under the facet joint. If leg pain is present (sciatica), the facet joint may be degenerated and pressing on the nerve. At your age, facet hypertrophy or enlargement is not common. Enlargement is usually in older individuals.
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Dr. Qamar Khan answered:

Ct reads that bone spur of l5/s1 facet joint is just in contact with s1 nerve root sleeve. Could that cause pain?

Sciatica

Stringio
Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist.
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Dr. Guy Fogel answered:

What does this ct scan mean? Right l5/s1 facet joint anterior spurr just in contact with descending s1 nerve root sleeve

Pressure on nerve

Nerve
THe facet has grown some additional bone that is compressing the nerve to your buttock and leg.
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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....

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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.
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Dr. Robert Masson answered:

L5-S1 level, mild broad-based posterior disk bulge, left sided laminectomy enhancing postoperative scar tissue abutting the left S1 nerve root means?

Complicated

Scarring
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.
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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.

Calf_swelling
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.
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L5-S1 right paracentral disc extrusion 8mm extending 5mm below superior endplate S1 right l stenosis , abuts right S-1 nerve root help interpret plz?

S-1 Radiculopathy?

Stricture
Real question here is the effect of the contact with the right S-1 nerve root, Is there foot numbness or weakness, is there risk for future nerve damage into leg? An EMG can help objectify current integrity and/or future risk. Films do not necessarily advise surgery, and, the disc may dessicate over next 6-9 months and thereby shrink on its own, if you can be patient.
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MRI shows antero-listhesis of L5 on S1, associated with bilateral L5 nerve root compression within the neural exit foamina.Numbness/tingling in legs and arms comes and goes and inflamed eye.Prognosis?

Spondylolisthesis

Open-uri20130416-14171-k82d6e
is the forward or backward slippage of one vertebra over another as in your description of an L5- S1 antero-listhesis. It is a frequent cause of low back pain especially in young athletes who engage in sports involving hyperextension of the spine such as gymnasts. If conservative measures (rest, bracing, nsaids, and physical therapy) are not effective, surgical fusion may be recommended .
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Dr. Ronald Krauser answered:

Would an l5/s1 nerve cause very tender pain to the touch right below the hip bone on the side of the leg?

No

Nerve
The is either a trochanteric bursitis or referred pain from the back. It is not due to nerve compression.
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