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

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Doctor said I have lumbar spondylosis, mass effect right L4 L5 nerve root, but left leg numb and dr did epordiaol injection on left L5S1 why?

Doctor said I have lumbar spondylosis, mass effect right L4 L5 nerve root, but left leg numb and dr did epordiaol injection on left L5S1 why?

Please repost: Please repost and include the answers to your questions given to you by the doctor who made the diagnosis and did rhe injection; or, if you did not ask the doctor, please state why you did not ask him/her and why you're posting the question for online doctors who have no direct knowledge of your case. ...Read more

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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If you are ordered a L5 s1 injection, does the doctor inject you at L4 l5?

No...L5 S1 injection: The L5 s1 space is one level down from L4 L5 intervertebral space. ...Read more

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How does a doctor determine if you need surgery for L4 L5 disc if you have a tear and disc protrusion?

How does a doctor determine if you need surgery for L4 L5 disc if you have a tear and disc protrusion?

Decades of Training: Your surgeon will first have to ensure that your symptoms are coming from the pathology you mentioned. There are various ways of figuring this out. Surgery is only recommended as last resort after failure of non-surgical treatments including pt, nsaids, epidural injections. Typically surgery is not a good option if you only have back pain, or if the disc is not pushing on a nerve. ...Read more

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Disc buldge at l4-l5 after surgery. Causing sevsre pain and heaviness of limbs. Doc says no need of re-surgery. What should I do?

Disc buldge at l4-l5 after surgery. Causing sevsre pain and heaviness of limbs. Doc says no need of re-surgery. What should I do?

Second opinion: It's impossible to tell what to do without examining you, but if you aren't satisfied with what your doctor recommends, getting a second opinion may be the best course. ...Read more

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I have pain in my arm, and am wondering if I need to get into the doctor. I have a bulging disc between my L4 and l5...Was off of work for almost 3 weeks with it. I am back to work now and was overcompensating so now I pulled something in my top left sho

C4/5 disc?: I presume you meant C4 and c5. The disc herniation at this site can cause shoulder pain and weakness. If you are having increasing pain, weakness and numbness, please see a neurosurgeon soon. If you are having trouble walking or balancing, I recommend urgent evaluation. ...Read more

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I'm 31-year-old male fractured spine L3 fused L4-L5 metal bars in his back would be good for me go back to work should I asked my doctor?

I'm 31-year-old male fractured spine L3 fused L4-L5 metal bars in his back would be good for me go back to work should I asked my doctor?

Ask doctor: By all means ask the doctor caring for you. In consideration are what your job involves and how well healed you are and what physical limitations this has left you with. ...Read more

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Hello doctor. I am diagnosed with diffuse annular disc bulge 1 to 2 mm at L4 l5. Tightnness in mid and low back. How bad will this progress?

Hello doctor. I am diagnosed with diffuse annular disc bulge 1 to 2 mm at L4 l5. Tightnness in mid and low back. How bad will this progress?

Back pain: A bulging disc between the lumbar 4 and 5 vertebral bodies is a sign of early arthritis in the low back. We treat you and not the MRI scan. In general, anti-inflammatory medications and muscle relaxers will reduce or eliminate the pain. Stretching exercise for the low back will improve flexibility. Strengthen core muscles to prevent progression of the bulging disc. ...Read more

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I have severe back pain from last 2-3 years. Mri shows bulges at l4-l5 and l5-s1.Doctors recommend operation, but I want to avoid operation. Suggest.

I have severe back pain from last 2-3 years. Mri shows bulges at l4-l5 and l5-s1.Doctors recommend operation, but I want to avoid operation. Suggest.

Exercise: Options to surghery are exercise, rest, anti spasm medication. Surgery last resort especailly for "builging discs"!

better get another opinion and make sure you had a "discogram" test. ...Read more

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I had a biopsy to my lower lumbar, now I have pain down my right leg, what do you think? I had a biopsy done between my l4-l5, when I woke up I had pain all down my right leg. The doctor said it would pass. I went to another doctor and he said told me tha

Hello,: Hello, I can not tell you the cause of your pain. However, when working around the spine, it is often necessary to work around, or handle nerve roots which can subsequently become inflammed and painful. The opening where the nerve exits is sometimes drilled wider so that it will not impinge on the nerve root. However, especially if the space was tight, it would be difficult not to cause some inflammation of the nerve root. Pain radiating down the leg can sometimes be caused by inflammation of the sciatic nerve. Don't know when your surgery was done. If it is recent, it may take a while for the inflammation to resolve. You might ask your doctor to prescribe medication in the meantime. Take care. ...Read more

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Had an MRI that showed a mild bulged disc at L4 L5 the wc doc said it wasn't enuf to cause my pain will a CT scan show more?

Had an MRI that showed a mild bulged disc at L4 L5 the wc doc said it wasn't enuf to cause my pain will a CT scan show more?

Not necessarily: Disc bulges are very common, even in people without pain. Ct scans are very good at showing bone abnormalities, but MRI is best for the soft tissues of the spine. ...Read more

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Had spondylolisis L4/L5 since 2009. Noticed bony bump, went and got a Xray, Doctor said it was fine, not concerned about bump. How can I get rid of it?

Had spondylolisis L4/L5 since 2009. Noticed bony bump, went and got a Xray, Doctor said it was fine, not concerned about bump. How can I get rid of it?

Depends: It certainly depends completely on what the "bone bump" is. It is likely a normal anatomic structure such as a spinous process or posterior iliac Spine and that the pain you may be having in the area is mor related to the spondylolysis. As such it is not likely you can do anything on your own to eliminate it. I would discuss the specifics of your case with your doctor. ...Read more

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What does 8 mm bone Island on L4 mean on an MRI? Also says Facet Hypertrophy narrows lateral recesses at L4-L5 and L5-S1. My doctor said MRI is normal. Never mentioned any of this to me until I got a copy.

What does 8 mm bone Island on L4 mean on an MRI? Also says Facet Hypertrophy narrows lateral recesses at L4-L5 and L5-S1. My doctor said MRI is normal. Never mentioned any of this to me until I got a copy.

MRI: MRI must be interpreted in the context of your symptoms. A small bone island may have been a sequestrum from an old infection in your spine. Lateral recess narrowing from facet arthropathy is a fancy way of saying wear and tear has started to block an area that is a thorofare for your nerves to exit your spine. If you have radiculopathy radiating pain this could be the cause. No symptoms, "normal" ...Read more

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I have degenerative disc disease dislocation of 3 lumbar discs and disc herniation at l5/s1 and disc bulges on l3/4 l4/5 my doctor says he can't op why?

I have degenerative disc disease dislocation of 3 lumbar discs and disc herniation at l5/s1 and disc bulges on l3/4 l4/5 my doctor says he can't op why?

Conservative surgeon: There are several possibilities. The surgeon may feel that your problem (s) will not be helped by surgery. Another possibility is the doctor doesn't want to operate at multiple levels. Spine surgeons usually don't want to operate unless they are sure surgery can help you. This is an excellent attitude. ...Read more

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I have back pains with a bulging disc and pinched nerve in my L4 L5 disc and the neurosurgeon recommended amytriptlene?

1possibility: It is very common to have a bulging disc. The nerve symptoms are usually related to inflammation. The first step in treatment is usually anti- inflammatories and physical therapy to decrease the mechanical traits that are putting pressure on the disc and strengthen your core. When these measures do not completely work, a medication to help with netve pain is often added. Amytrip. Is one of those. ...Read more

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Can a pinched nerve in the L4-L5 and/or S1 cause a muscle in the leg to stay in a contracted state?

Definitely, yes: Pinched nerve can be caused by being sandwiched between two spinal bones, pressed by a bulging. It can cause muscle spasm and back pain. Prevention treatment is always recommended. This condition must be professionally managed. See interventional pain management specialist for definitive diagnosis and management. Good luck. ...Read more

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Can you have a pinched nerve without having any herniated disks in back but mild spondylitic change in L4-L5 (some facet degenerative change)?

Yes: The facet joint outlines the neuroforamen in which the spinal nerve exits out of the spine. So if you have spondylitic change you may be compressing the nerve that exits out, hence pain. That said, it doesn't take much for a disc to bulge (it doesn't have to herniate) and the facet joint arthritis to cause such an event. ...Read more