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Doctor insights on: Letter From Doctor L4 L5 Compressed Nerve Plano Tx Doctors

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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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L4-5 herniation compressing thecal sac & L5 root. Pain & neuropathy. Dr. wants 2 do injections. Aren't these temporary? Won't I need surgery anyway?

 L4-5 herniation compressing thecal sac & L5 root. Pain & neuropathy. Dr. wants 2 do injections. Aren't these temporary? Won't I need surgery anyway?

See Neurosurgeon: If the symptoms of disc herniation have improved over the initial 3 months post-onset, and are continuing to improve after epidural, then typically no surgery is necessary. Have a neurosurgeon to look at your MRI. ...Read more

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Postero central and paracentral disc protrusion at l5 s1 level causing thecal indentation encroachment upon bilateral canal with compression on bilateral trarvesing compression s1 nerve roots this is written on my mri scan, doctor has recommended me disct

Postero central and paracentral disc protrusion at l5 s1 level causing thecal indentation encroachment upon bilateral canal with compression on bilateral trarvesing compression s1 nerve roots this is written on my mri scan, doctor has recommended me disct

Comments: Not sure what your question is, but in most cases, would handle this conservatively, if you are not progressively losing strength and muscle bulk, with intolerable pain. These disks can desiccate and shrink if you can wait 9-10 months, and avoid surgery. An EMG test can objectify extent of nerve damage at this point. ...Read more

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Wife's Mri of spine shows C2 C3 demonstrate T1 T2 bright signal along right lower aspect disc space. L3 small vertebral hemangimo. Minor facet hypertrophy at L4 L5 encroaching on the foramina. PLEASE explain these findings. Thank you Drs.

Wife's Mri of spine shows C2 C3 demonstrate T1 T2 bright signal along right lower aspect disc space. L3 small vertebral hemangimo. Minor facet hypertrophy at L4 L5 encroaching on the foramina. PLEASE explain these findings. Thank you Drs.

Some findings OK: In general, small hemangiomas in vertebral bodies are not clinically significant, sort of like fingerprints. Narrowed foramina from arthritis in the facets can be symptomatic and treated conservatively with anti inflammatories, steroid injections or rarely (sometimes micro) surgery. Disc lesions with T1 and T2 abnormalities need to be seen to opine on. ...Read more

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What treatment bulge l4l5 l5s1 close to s1 nerve root for 2 years now severe disabling pain just in bed epidural pt nerve block scs trial nothing help?

What treatment bulge l4l5 l5s1 close to s1 nerve root for 2 years now severe disabling pain just in bed epidural pt nerve block scs trial nothing help?

Pain L5-S1: Probably will have to see a neurosurgeon for back surgery. The choice should come after you understood clearly the risks vs benefits of the surgery, and possible complications. It is not a simple pathway but it has to be taken after you exhausted all other methods of treatment such as pain procedures, physiotherapy, physical therapy, etc. A good approach will be minimally invasive surgery. ...Read more

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Dear sir, the patient feels hnp can travel a long distance ( about 800 km ) by bus after taking the nerve root block injection 1 month ago?

Dear sir, 
          the patient feels hnp can travel  a long distance ( about 800 km ) by bus after taking the nerve root block injection 1 month ago?

OK, but walk.: This shouldn't be a major concern. However i would instruct the patient to make sure they are regularly getting up and walking up and down the isle every now and again every 2 hours or so. A walk to the front of the bus then to the back and perhaps stay standing at their chair for a few minutes before sitting down. ...Read more

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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?

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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Ongoing peripheral neuropathy, top of left foot, since june 2012. Area numbed after 2006 12mm l5/s1 disc protrusion (resolved). What are my options?

Ongoing peripheral neuropathy, top of left foot, since june 2012. Area numbed after 2006 12mm l5/s1 disc protrusion (resolved). What are my options?

Herniated disc: The numbness or neuropathy in the foot may have several possibilities such as a recurrent disc protrusion, ligament and facet growth leading to canal narrowing, low B12 levels, or other reversible causes. Follow up with a spine specialist to determine the cause of the numbness. ...Read more

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Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Back surgery: You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. ...Read more

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I've been told that i need a dorsal foraminotomy or a 'foramino facetectomy' (c5/c6 & c6/c7). I can't find much literature on the 2nd procedure &, as i'm working abroad, it's difficult to find info.

I've been told that i need a dorsal foraminotomy or a 'foramino facetectomy' (c5/c6 & c6/c7). I can't find much literature on the 2nd procedure &, as i'm working abroad, it's difficult to find info.

Get Doc to explain: Before you can honestly consent to anything, you need to understand it. The person offering the procedure is obligated to tell you clearly the 'what ; why' as well as the 'how' of the procedure. They also need to explain risks with or without the intervention and any alternatives. If you don't get this satisfaction, be sure to seek a 2nd opinion before consenting to anything. ...Read more

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Cant afford titanium diagnosed with disk sequestration c6-c7. Dr plan corpectomy C7 n fusion anterior c6-t1 with gretting. Are der any options? Usin

Cant afford titanium diagnosed with disk sequestration c6-c7.  Dr plan corpectomy C7 n fusion anterior c6-t1 with gretting.  Are der any options? Usin

Options: Hard to answer without seeing films. However, alternative management with acupuncture has provided my patients with excellent relief even when surgeons want to cut. The most important aspect of choosing an acupuncturist for this is that he/she is knowledgeable of spine medicine: when it spine is stable and when surgical stabilization is essential If stabilization is not an issue, try acupuncture ...Read more

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Lge disc ext at L5 compressing L5,S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions. ?

Lge disc ext at L5 compressing L5,S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions. ?

I suggest both star-: ting with Epidurals, to confirm which level disc issue provides best relief from your symptoms. Is it one or more levels. I am sure, your surgeon will be getting you to habe a series of these shots before the surgery that you certainly need. Good Luck. ...Read more

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Neuro dxme with 2 herniated/collapsed disc, L4 & l5, says need 2 level fusion. Back, nerve pain & numbness change b/w mod 2 severe. Chance of perm dam?

Neuro dxme with 2 herniated/collapsed disc, L4 & l5, says need 2 level fusion. Back, nerve pain & numbness change b/w mod 2 severe. Chance of perm dam?

Yes: There certainly is a possibility of failure of relieve the pain and numbness if you leave the problems untreated. Have you tried anything other than talking to a surgeon. Before I have a 3 level fusion i would try physical therapy and injections from a pain specialist. ...Read more

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Interpret-please.mild broad-based disc bulge L5-S1 may contact S1 nerve root emerging from dural sac. 2 nerve roots don't appear compressed.

Interpret-please.mild broad-based disc bulge L5-S1 may contact S1 nerve root emerging from dural sac. 2 nerve roots don't appear compressed.

Back pain: It means the person who got this done was complaining of back pain probably with some radiation down one of the legs or perhaps even both. Symptoms of numbness, tingling, or burning pain may also be part of this picture. The MRI report is suggesting there is a bulging disc, which is not a hernia, which may be causing irritation of nerve fibers while not physically squeezing them. ...Read more

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Neuro or Ortho Surgeon - which better for sub articular disc protrusion with adjacent granulation tissue from old L5 laminectomy?

Neuro or Ortho Surgeon - which  better for sub articular disc protrusion with adjacent granulation tissue from old L5 laminectomy?

Neurologist: Neurologist is the 1st step for an EMG/NCS study which will show if your L5 root is having an ongoing damage (would show up as active denervation changes on EMG). If there is active severe denervation and weakness on exam then patient may get referred to the spine surgeon to correct the problem, but not all radiculopathies need surgical correction and some improve as disk material can get resorbed ...Read more

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I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read more

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Ddd on L5 s1, done p/t, yoga, exercise, chiro, massage, edpidural, nerve block & facet injection, in pain, aside from surgery, what else can I do?

Ddd on L5 s1, done p/t, yoga, exercise, chiro, massage, edpidural, nerve block & facet injection, in pain, aside from surgery, what else can I do?

Core strengthening: Core strengthening is the best non-surgical option for DDD at L5-S1. Also, I would recommend the "Treat Your Own Back" by Robin McKenzie ( a book) for additional exercises you may find helpful. ...Read more

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