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Doctor insights on: L5 S1 Spinal Stenosis

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Dear sir, I am sufferning L4 l5, s1 spinal stenosis what should advise me. Thnks?

Dear sir, I am sufferning L4 l5, s1 spinal stenosis what should advise me. Thnks?

Epidural steroid: To start get a esi if this helps but dosen't last then laminectomy has a high sucess rate at relieving leg pain with standing or walking backache different story. ...Read more

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Dr. Thomas Dowling
755 Doctors shared insights

Spinal Stenosis (Definition)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, ...Read more


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I'm 5'4, 145lbs, size 36dd. Is there any possibility my boobs contributed to my herniated disc at l5-s1 and spinal stenosis? Would reduction help?

I'm 5'4, 145lbs, size 36dd. Is there any possibility my boobs contributed to my herniated disc at l5-s1 and spinal stenosis? Would reduction help?

Unlikely: The most common area for back pain due to large breasts is the mid back. It is possible to have low back pain but your area is an unlikely location for breast induced back pain. The only treatment shown to make a long term difference for your problem is a daily home back physical therapy program. ...Read more

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I had anterior/posterior fusion l5-s1 in 2001. Spinal stenosis and ddd herniated disk l3/4 in 2009. Is it possible to now be developing arachnoiditis?

I had anterior/posterior fusion l5-s1 in 2001. Spinal stenosis and ddd herniated disk l3/4 in 2009. Is it possible to now be developing arachnoiditis?

Quite possible: It's definitely possible. An epidural steroid injection or spinal cord stimulator may help tremendously.

But first, one would have to be properly evaluated by a spine specialist (pm;r, orthopedic spine surgeon or neurosurgeon) and diagnosed with that. ...Read more

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My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? ...Read more

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I have spinal stenosis. Had a total decompression operation in 2007 (L5- S1). Canal is narrowing again. Should I try interthecal steroid shots?

I have spinal stenosis. Had a total decompression operation in 2007 (L5- S1). Canal is narrowing again. Should I try interthecal steroid shots?

Tough situation: Repetitive surgery has significant limitations, including post-operative arachnoiditis and scarring. Might be worth a try to use the shots, but unfortunately, these, at best would be short term benefits. Another option is to use McKenzie Back Exercises, and can be taught by a physical therapist. ...Read more

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Mri shows disc protrusion at l5-s1. Mod. Central spinal canal stenosis throughout L spine. Mod degrees of neural forminal stenosis at l4-5 an esp l5-s1?

Degenarative disks: The cartilage disks that cushion vertrebrae, (which are the bones protecting the spinal cord), have degenarated. Usually from wear - tear, the central portion loses water, which causes outer portions to bulge out and press upon surrounding nerve structures. The foramina are tiny holes from which nerves exit the spinal canal which is main space spine sits within vertebral cage. Tends to cause pain ...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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Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Ummm....: Let me see if I can translate your post into English: You have bony and disc abnormalities in your lumbar spine and also some hematological abnormalities. Is that the correct rendering? The two have nothing to do with each other. Did you ask the question of your doctor? (I recommend that in future you have a native speaker of English check your question before you post it.) ...Read more

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Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?

Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?

Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary. ...Read more

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What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

Common finding: Disc bulging or protrusion of the disc does not correlate very well with the presence or absence of back symptoms (based upon MRI studies). Since you do not have evidence of nerve root or spinal cord compression it would suggest that your pain might be arising from lumbar facet osteoarthritis and/or myofascial pain in the lumbar muscle groups. Has an experienced physical therapist evaluated you? ...Read more

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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.?

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 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?

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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Discogenic changes l5-s1 causing neuroforaminal stenosis. Is there cure for such condition?

No cure: All depend upon what symptoms you have from the stenosis. There is not specific cure, this is usually due to degenerative process of the spine and as such you treat the. Symptoms that could be as simple as physical therapy and some times as complicated as a surgycal procedure in summary thereis not a cure but palliative measures to treat the symptoms. ...Read more

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L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

Ouch!: You're young to have this, unless you're prior military or did a lot of weight-bearing. Get to your ideal body weight. Strengthen core muscles with physical therapy/Pilates. Try oral NSAIDs & consider short oral steroid burst. No opioids/narcotics - more a curse than blessing. Try a TENS unit, acupunture, tilt table, hot/cold packs & last resort facet joint steroid injections/blocks. Hang in there ...Read more

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Severe foraminal stenosis bilaterally at l5-s1 with some addl also in l3-l5. Unstable sponlylo. Surgery indicated. How many opinions & from whom?

At least two.: You may need fairly extensive surgery with stabilizing hardware placed. For your own peace of mind I would get at least two (or three) opinions. I personally would see a neurosurgeon and an orthopedic surgeon to get their opinions. ...Read more

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I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back.?

I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back.?

Common: Spondylolisthesis commonly causes back pain. Lumbar stenosis commonly causes leg pain, numbness especially with extended activity. Weight control and core muscle exercises are a first step. If these don't help, consultation with a neurosurgeon or orthopedic spine surgeon would be a reasonable next step. ...Read more

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My MRI report reads that there is a protusion noted at the left lateral canal at the L5-S1 level projecting 3 mm. No stenosis. What does this mean.

My MRI report reads that there is a protusion noted at the left lateral canal at the L5-S1 level projecting 3 mm. No stenosis. What does this mean.

My impression: The MRI shows rather minor and nonsurgical issues, and this small disc issue may not even explain your symptoms. Talk with your doctor and decide the next step. ...Read more

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Grade I spondylolisthesis and degenerative diffusely bulging disc at l5-s1 with bilateral foraminal stenosis, what to do?

Depends: Grade I L5S1 spondylolisthesis and bilateral foraminal stenosis- no intervention needed if no referable symptoms. Otherwise, physical exam including neurologic function to rule out neurologic deficits. With no referable significant deficit, physical therapy is usually a good start. ...Read more

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Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

What is the question: You have not asked a question. What you have is osteoarthritis at l5-s1 of a moderate degree. If back pain is a significant issue you have several options that can help. See an orthopedist or rheumatologist. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Cornelius O'leary jr
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more