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Doctor insights on: L5 Spinal Nerve

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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

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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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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

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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

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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

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Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read more

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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

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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

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What are wheelchair transfers after a spinal cord injury?

What are wheelchair transfers after a spinal cord injury?

See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more

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Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more

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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

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Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more

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What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno

What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno

Increasing neurologi: Compression of the spinal cord can occur due to spinal stenosis. which will often cause pain in the back and or in the legs. This can further progress to muscle weakness, weaker legs and paralysis if not treated in time. You need to see a neurologist or a neurosurgeon to guide you in further managing this problem.. ...Read more

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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

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What are the symptoms following spinal cord injury?

What are the symptoms following spinal cord injury?

Numbness, paralysis: Spinal cord injury affects the function of things below the site of the injury. There is a direct relationship between the spot on the cord damaged and changes below that point. So, the higher up the injury, the more damage is noted. This can be leg numbness or paralysis, the same for arms and if the neck is involved, breathing may be affected. ...Read more

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What is spinal muscular atrophy with respiratory distress?

What is spinal muscular atrophy with respiratory distress?

Serious disease: Spinal muscular atrophy is a group of inherited diseases that cause muscle damage and weakness which get worse over time. The most severe form starts in infancy. Milder forms can start in adolescence or adulthood. All types of sma cause weak muscles and difficulty breathing. It can be hard to take deep breaths and to cough effectively. This results in frequent infections and respiratory distress. ...Read more

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Dr. Paul Velt Dr. Velt
2 doctors agreed:
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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

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Can a person(female, 26) suffering from Hereditary motor and sensory neuropathy be given general anesthesia for the treatment of Diaphragmatic hernia?

Can a person(female, 26) suffering from Hereditary motor and sensory neuropathy be given general anesthesia for the treatment of Diaphragmatic hernia?

Depends: The severity of the neuropathy and the specific type of anesthetic are both important factors. This condition needs collaboration between your neurologistr and anesthesiologist ( not anesthetist). ...Read more