Top
20
Doctor insights on: L5 Si Disc Herniation

Share
1

1
L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read more

See 1 more doctor answer
2

2
Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

See 1 more doctor answer
3

3
X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more

4

4
Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more

5

5
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

7

7
I have herniated buldged& compressed discs?

I have herniated buldged& compressed discs?

Symptoms?: Sounds like you had an imaging study. Herniated bulged and compressed discs are of no significance unless you have symptoms that correlate with the noted abnormalities. ...Read more

8

8
What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

Disc & Facet Issues: Looks like by the verbage you gave, your MRI suggests that you have disc herniation at L5/S1. "Central" just means in the middle of the spinal canal,"bilateral facet degenerative change thickening flavum" suggests arthritis of the facet joint and the ligament that protects the spine is thickened due to that arthritis. Protrusion is just another name for a herniation. ...Read more

See 3 more doctor answers
Dr. Paul Velt Dr. Velt
2 doctors agreed:
9

9
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Dr. Paul Velt Dr. Velt
2 doctors agreed:
I had a L4-L5 left hemilaminectomy. 6 mo post-op MRI "Residual or recurrent moderate focal L subarticular protrusion-extrusion". Have L-radiculopathy.

Seems likely: Seems from what you say there is disc in the left nerve path. Not that this doesn't happen it does and fairly frequently. Sometimes even scar tissue can be guilty of these symptoms as well. Talk to your surgeon about further treatment. ...Read more

See 2 more doctor answers
11

11
Cervical spine compression of nerve?

Cervical spine compression of nerve?

Radiculopathy: Typically you will feel referred, burning, radicular pain in a dermatomal distribution, depending upon which nerve root is being compressed. ...Read more

See 1 more doctor answer
13

13
Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?

Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?

?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more

14

14
Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

16

16
Can a cervical disc extrusion be made worse?

Absolutely: The initial injury can progress or improve. If symptoms progress, treatment and diagnosis are important to trouble shooting and preserving functionality. ...Read more

See 1 more doctor answer
17

17
Local back pain from lifting weights. X-rays lumbar/pelvis/SI joint. Mild Ensteophyte formation at illiac crests. is this common? follow up needed?

Local back pain from lifting weights. X-rays lumbar/pelvis/SI joint. Mild Ensteophyte formation at illiac crests. is this common? follow up needed?

Osteophytes are spurs: Osteophytes are bone spurs and accumulate with life and uncertain how much they are contributing to you back pain which can occur for lots of reasons - bone, disc, muscle, tendon, bursa etc. I suspect you had the osteophytes way before you were lifting weights. You need an evaluation for the reason you have back pain. ...Read more

18

18
20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?

20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?

See spine surgeon: A pain doctor can determine if the pars defect is the cause of,pain. If so, then surgery is an option, spinal cord stimulation, and various pain meds can help,this situation. ...Read more

19

19
Pain on the back of heel to touch with numbing in surrounding area( leg weakness at times and low back annular tear L5S1 w/disc protrusion) related?

Pain on the back of heel  to touch with numbing in surrounding area( leg weakness at times and low back annular tear L5S1 w/disc protrusion) related?

Probably yes.: Disc protrusion at that level can cause compression and damage to the sensory and motor nerves that supply the leg. Ask your doctor for a referral to an orthopedic surgeon or neurosurgeon. ...Read more