Doctor insights on:
Lumbar Disease Myelopathy
Need more info: Lumbar disease usually cannot cause myelopathy. Myelopathy is compression of the spinal cord or an intrinsic brain disease. The spinal cord ends at about L1 (the upper most part of the lumbar spine) in most patients so lumbar disease (meaning the lower back area) doesn't cause spinal cord compression. A more specific question may be more helpful. ...Read moreSee 1 more doctor answer
The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more
It is rare: In most people, the tip of the spinal cord is at the bottom of l1, the first bone in the lumbar spine, so all lumbar disk herniations miss the spinal cord, even large ones. There are some folks with tethered cords, so the spinal cord is elongated. Since the tether can cause the cord problems, in such cases a large disk herniation could be double jeopardy. This is rare but serious. ...Read more
It depends on the : Nature and degree of neurologic findings as most disc herniations are treated non operatively with 10% going to surgery with 1% being a true surgical emergency when involving the nerves that control bathroom functions. The risk of spinal cord compression is low as the cord usually ends by L1 level in most adults with most disc herniations occuring at l4-5 & l5-s1. ...Read more
Nonsensical: The spinal cord ends at about l-2, and most common disc issues are present at l4-5, and l-5-s-1. In order for a disc to affect the spinal cord, we are talking about a problem in the lower thoracic spine, or a rather unusual high lumbar disc fragment, perhaps. Myelopathy means involvement of spinal cord, so are we really using the term incorrectly here? Ask your doc about this. ...Read more
And the question IS?: I'm afraid your question mark should really be a comma if anything. I'm not catching your drift. Are you asking for a list of symptoms associated with IVD disease without myelopathy....or if one could even exist without the other? Perhaps, you're copying something out of a report? Revamp your question and send through again. ...Read moreSee 2 more doctor answers
I was diagnosed today with lumbar disc prolapse with myelopathy. ICD-9: 722.73. I am a 50 year old female. Is this a big deal? I work retail.
Not necessarily: Back problems are very common, occurring in over 80 percent of the US population at some point in their lives. By the age of 50, over 50 percent of people will have some degree of " prolapsed" or degenerative disc disease as seen on an MRI. So the finding can cause pain and limitation in some and there are many treatment options; but the finding itself is not unusual or dangerous. ...Read moreSee 1 more doctor answer
My surgeon wants to fuse me from L3/L4 the write up says: Diagnosis - Spondylosis - Lumbar wtih Myelopathy & Instability - Lumbar. Please explain?
I have lumbosacral spondylosis without myelopathy, spinal stenosis other than cervical, lumbar region with neurogenic claudication and thoracic radiculitis. What should I do?
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