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Doctor insights on: L5 Spinal Nerve

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Dr. Zachary Levine
Board Certified, Neurosurgery
23 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 ?

Dr. Zachary Levine
Board Certified, Neurosurgery
23 years in practice
143K people helped
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. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Carl Spivak
Board Certified, Orthopedic Spine Surgery
23 years in practice
929K people helped
2

2
Mri results said i had a large disc protrusion impinging on L5 nerve, and deformity of spinal canal/sacral nerve roots. Surgery? The report says: large 7mm posterior disc protrusion(l4-l5 disc)measuring up to 13mm in width. It is obliterating the right la

Dr. Carl Spivak
Board Certified, Orthopedic Spine Surgery
23 years in practice
929K people helped

Right : Right l4-5 disk herniation can be treated with rest, physical therapy, medications, steroid injections and surgery. Surgery is a good treatment if the disk is causing right leg pain and you have failed other conservative treatments i mentioned. Today disk surgery can be done extremely minimally invasive through the spine endoscope. Please see my health guide on lumbar disk herniations. Good luck! ...Read more

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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Joseph Gregorace
Board Certified, Physical Medicine and Rehabilitation
23 years in practice
112K people helped
3

3
I had a lumbar spinal fusion of l4/l5 in may of 2012. I wasdiagnosed with nerve compression and stenosis. I am currently having leg weakness and back pain. Could arthritis be involved?

Dr. Joseph Gregorace
Board Certified, Physical Medicine and Rehabilitation
23 years in practice
112K people helped
I had a lumbar spinal fusion of l4/l5 in may of 2012. I wasdiagnosed with nerve compression and stenosis. I am currently having leg weakness and back pain. Could arthritis be involved?

LBP: Depending upon your exam finding a follow-up mei of the lumbar spine is necessary. ...Read more

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Dr. Mark Fisher
Board Certified, Neurology
29 years in practice
1M people helped
4

4
Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

Dr. Mark Fisher
Board Certified, Neurology
29 years in practice
1M people helped
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. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. James Henning
Board Certified, Anesthesiology
45 years in practice
1M people helped
5

5
Mri states severe bilateral neural foraminal encroachment with L4 and L5 nerve root compression . Have had esi no help severe pain gait and motoring issues.Spinal surgeon says see neurologist what sho?

Dr. James Henning
Board Certified, Anesthesiology
45 years in practice
1M people helped
Mri states severe bilateral neural foraminal encroachment with L4 and L5 nerve root compression . Have had esi no help severe pain gait and motoring issues.Spinal surgeon says see neurologist what sho?

Good First Step: As an anesthesiologist and internist, i completely agree with your surgeon. The first step is to evaluate your candidacy for either pt or transforaminal (ct- guided) injection before going to the slightly more invasive percutaneous, or open surgical, discectomy. It's wise to approach your condition "conservatively, " unless severe pain or loss of nerve function require more rapid action. No worries. ...Read more

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Dr. Christopher Wilson
Board Certified, Sleep Medicine
16 years in practice
730K people helped
6

6
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.?

Dr. Christopher Wilson
Board Certified, Sleep Medicine
16 years in practice
730K people helped
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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Dr. James Henning
Board Certified, Anesthesiology
45 years in practice
1M people helped
7

7
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?

Dr. James Henning
Board Certified, Anesthesiology
45 years in practice
1M people helped
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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Dr. Paul Gause
Board Certified, Orthopedic Spine Surgery
14 years in practice
82K people helped
8

8
How is spinal retrospondylolisthesis of l4-l5 managed?

Dr. Paul Gause
Board Certified, Orthopedic Spine Surgery
14 years in practice
82K people helped
How is spinal retrospondylolisthesis of l4-l5 managed?

Depends on symptoms: Retrolisthesis occurs from degenerative changes in the disc and facet joints of the spine. It is generally considered more stable than a forward slippage and therefore a fusion is not always recommended if you are having nerve pain. Instead a simpler laminectomy can be done. If the slippage is significant leading to narrowing of the nerve exits (foramen), then a fusion is sometimes warranted. ...Read more

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Dr. Mark Weston
Board Certified, Orthopedic Spine Surgery
26 years in practice
5M people helped
9

9
I have an ESI tomorrow in my l4-l5 and l5-s6. I was planning on flying on wed december 23rd. Will I be able too without a risk in spinal pressure?

Dr. Mark Weston
Board Certified, Orthopedic Spine Surgery
26 years in practice
5M people helped
I have an ESI tomorrow in my l4-l5 and l5-s6. I was planning on flying on wed december 23rd. Will I be able too without a risk in spinal pressure?

Should be fine: Flying days after ESI not contraindicated make sure you stop blood thinners including asprin prior should be fine ...Read more

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Dr. Ahmad M Hadied
Board Certified, Orthopedic Surgery
44 years in practice
53M people helped
10

10
I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?

Dr. Ahmad M Hadied
Board Certified, Orthopedic Surgery
44 years in practice
53M people helped

Not much : Accelerated adjacent segment degeneration is relatively common and concerns adverse effects following spinal fusion. It is believed that this accelerated degeneration is due in large part to increased mechanical stress on the adjacent motion segments. Stay in shape, do not gain weight. ...Read more

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Dr. Marsha Davis
Board Certified,
23 years in practice
66M people helped
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