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Doctor insights on: L5 S1 Nerve Root Compression Symptoms

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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. ...Read more

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Dr. Vikram Patel
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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


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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. Vikram Patel
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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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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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Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

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

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

Sciatica: 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. ...Read more

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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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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?

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?: 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. ...Read more

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