Doctor insights on:
Lumbar Root Block
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 moreSee 1 more doctor answer
Facet Injection: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The Medial Branch Block is mostly an anesthetic injection for diagnostic purposes to determine candidacy for radiofrequency ablation. ...Read moreSee 2 more doctor answers
Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?
Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more
What would cause cervical spondylosis, central canal stenosis, disc osteophyte complexes, mild cord impingement, cervical straightening in 43 y/o?
Lumbosacral spondylosis with disc degeneration, mild posterior disc bulge at l3-4level indenting thecal sac, lateral canals & neural foraminae, treatment?
DDD=arthritis: Arthritis/spondylosis of the disc is ddd. Like wrinkles of skin, ddd happens to everyone to some degree. It starts to be evident on MRI late teens and early 20's, progressing with age. Ddd/arthritis does not = pain. So don't let the diagnosis bother you. Treatment is specific to the pain. If back pain, nonsurgical. Nsaids/tylenol, pt/core strength. For sciatica, above plus nerve root injections. ...Read moreSee 1 more doctor answer
Orthopedic: Mri shows right foraminal narrowing (moderate-sev) but notes no central cervical spinal canal stenosis. Any impingement into spinal cord?
Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help. ...Read moreSee 1 more doctor answer
Mri:rt side extra foraminal broadbased protrusion of intervertebral disc noted at l4-l5 level.Mild compression of exited l-4 nerve root. What's this?
Follow-up q: extra foraminal disc herniation at l4-l5 level.Mild compression of exited l-4 nerve root. Would this need surgery?
Possibly: If u are having pain down your thigh or leg, or weakness in the leg and it is not improving then surgery is an option. However, if this is an MRI DX and you have minor pain, you shouldn't require surgery. Even w/ radicular ( down the leg) pain non- operative treatment should be tried first ( lb exercises, nsaids , epidural steroid injections )...Sometimes if u can " wait it out"... It will go away! ...Read moreSee 1 more doctor answer
What does this mean?
moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root
Pain generator: this could be causing the left sided sciatic symptoms. usually need to know more and do an exam to make sense of the pictures. ...Read more
Specific vs general: Spinal stenosis is not specific to region (cervical vs thoracic vs lumbar). Spinal stenosis of lumbar spine is lumbar spinal stenosis. Central stenosis means the dural sac is compressed. This is as opposed to foraminal or lateral stenosis which usually affects the nerve roots. Hope this helps! ...Read moreSee 1 more doctor answer
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
Had an MRI and dont understand results. "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.
Spinal Stenosis: Did a doctor explain to you the results or did you just obtain a copy? In general you have a protruding disc (not sure if neck or back) that is impinging on the spinal canal and resulting in narrowing of the canal. I would imagine you are having pain, weakness, numbness? ...Read more
MRI L5-S1 level, posterior spurring identified. Osteophyte contacts S1 nerve root. Moderate to severe bilateral neuroforaminal stenosis. Suggestions?
Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?
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- Lumbar epidural nerve block
- Lumbar facet block injection
- Lumbar sympathetic block technique
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- Lumbar medial branch block
- Bilateral lumbar facet block
- Lumbar sympathetic block
- Transforaminal nerve root block
- Lumbar nerve root block injection