Doctor insights on:
Mass Effect S1
MRI shows small herniation on l5s1, mass effect on s1. Numbness and pain are l5 dermatoes, eg big toe numbness, is this common?
Complex: First you have MRI demonstration of S-1 compression, but you say your symptoms are at L-5, which raises question in my mind of an additional disc fragment affecting this nerve root. The complexities may affect a conservative approach to your problems, and surgery may be needed. Get opinion from spinal surgeon. ...Read more
Can Anklosing Spondilits/Sacarolitis cause sciatica and L5 dermatoes big toe numbness. Mri does not show l5 impingement, only small mass effect on s1?
MRI can show inflame: The MRI can help see sacroiliac inflammation when X-rays are normal. This is called non-radiographic sacroiliitis and spondylarthropathy. The symptoms you describe could be from ankylosing spondylitis but it is unlikely. Your physician can have you see a rheumatologist to clarify ...Read more
My MRI says I have lateral recess stenosis, mass effect on my s1 nerve root, and facet authropathy diffusley from l2-s1. What's this mean for me?
Needs correlation: The films suggest potential compression of the s-1 nerve root, which might explain numbness over sole of foot and weakness of calf muscles, besides pain radiating from lower back to foot. Could be treated conservatively, and may respond to epidural steroid injection, but if bladder involved, surgery is far preferable. Do have lengthy discussion with spine surgeon. ...Read more
I have ruptured l3-s-1with facet autropathy present l2-s1, lateral recess stenosis, and mass effect on my s1 nerve root. Besides prescription therapy. What helps?
Several options: There are a few options for treatment. You mentioned physical therapy. That certainly is effective a substantial % of the time. Other options include pain management therapy. Pain specialists are very good at adjusting medications that maximize pain control. They may also perform epidural steroid injections. Finally, depending on the correlation of the MRI findings with symptoms-surgery is an option. ...Read more
What does disk material at least abuts the thecal sac and right transiting s1 nerve root without obvious mass effect mean?
Disk against nerve: Without seeing you, or you diagnostic exam, the finding does not mean much. To make a diagnosis a careful medical history and physical examination is required to frame the results of your test. The best person to ask is your doctor. They can determine what the findings mean, and what may be done next. ...Read more
MRI showed grade 1 L5/ s1 anterolisthesis and severe bilateral L5/S1 foraminal stenosis with mass effect on exiting bilateral L5 roots. My options?
Lumbar stenosis: Lumbar spinal deformities in form of varying degrees affects 6% of the population in the U.S, . THE treatment spectrum varies from avoiding activities that produce pain, bracing, physiotherapy, NSAIDs, to surgical interventions which involve decompress ions and or fusions. Recovery from surgery depends upon whether or not a fusion is performed, but can take up to 9-12 months. ...Read more
L4-L5: compressed, 8mm one side- other 16mm. L5-S1: bulging disc with a 5mm mass effect. Shooting pain down my leg & numbness. Will I need surgery?
Differs: Each person is different. The overall response to conservative therapy (Physical therapy and Epidural injections and meds) depends on several factors: your weight, your core strength, your height, your genetic spinal canal width/height, etc. If you are short and fat, you are much more likely to need surgery with the described disc. If you are taller and slimmer, you are less likely. ...Read more
You are older than: It means you are older than 10 as degenerative changes can be seen as early as 10. Years old and continue as you age. The lowest 2 levels of the spine are the most involved, typically. This is the l4-5 and l5-s1 levels. These are age related changes that are significantly accelerated if you smoke and/or obese. ...Read more
What can I do if my s1 vertabrae is not fused. I've had 2 nerve blocks and no relief. Where do I go from here?
I will soon be fuse l3-S1. I LOVE rollerblading, but should I give this up or could it be safe for me again some day?
I have degenrative spine l345 s1 I can't move at the end of the day, I'm 40 the pain is there every min of the day! Would a fusion help?
Unlikely: Fusion for spine arthritis results are highly unpredictable. Spine degeneration is ubiquitous beyond the middle ages and there is no way to reliably determine in whom it is wholly responsible for lbp. There are countless other potential causes, contributing factors, and treatments. Doing a fusion without definitively isolated clinically significant pathology is analogous to "shooting blindly.". ...Read more
Varies: It really is based on symptoms. If symptoms are mild, no treatment necessarily needed. If increased back or leg pain or difficulty walking, the progressively more involved options include medications, therapy, chiropractic, interventional pain managemt; or in severe cases that fail non- operative care: surgery. ...Read more
MildBulgeL5S1&L4L5w/MildIndentationVentralThecalSac. 8wks numbW/pain S1dermatome toe2butt. 2wksSharpPain1"L&RofMidline@S1 LegsWeak w/pain L butt2knee?
Herniated disc?: Usually bulges are more related to the disc that support the spinal joints to the back, sometimes bulging can affect the spinal cord which can lead to chronic back ache and other complicated symptoms. ...Read more
Not sure what you: Are asking. Please resubmit with a specific question. ...Read more
Spondylolisthesis: This refers to a less than 25% slippage of the L5 vertebra in relation to s1. Increasing grades denote worse slippage. ...Read more
Disk injury: Technically is not not a tear of the vertebra (a bone), but the disk between two bones. The outer disk (annulus fibrosis) is made of layers of collagen (a material). Think of them as threads woven in layers. They allow for some flexibility and movement between the bones. With aging and time some of the fibers can tear. If nerve fibers grow into the area, it might be a source of pain. ...Read more
Nothing: It does not have any bearing as to any issues. ...Read more
Depends on symptoms: If these are findings on your MRI hopefully the doctor who ordered it has shown you the pictures and discussed how it could relate to your problems. If not, get a better doctor. The annular tear is a fissure in the outside of the disc. Spondylolisthesis is when 1 vertebrae slips forward or backward on another. Google both terms and you'll get a lot of info. ...Read more
Chronic fractures: A part of the L5 vertebral body, the pars articularis, has fractured on both sides and because of this the L5 vertebral body has been able to move forward in relation to s1, which is located directly below L5 (see picture). These fractures are most often chronic and its possible may have been present even since childhood. ...Read more
Spondylolisthesis: Isthmic spondylolisthesis is another term for what you are describing. Basically one of the vertebrae is shifted foreword over the other. What has caused this condition in your case is a "defect" if the pars interarticularis, which usually stabilizes the spine. This condition can be associated with back and leg pain and difficulty standing or walking for long periods. Many treaent options. ...Read more
Re-operate?: When a fusion surgery fails, you need to carefully reevaluate the potential causes. Then, with persistent pain, re-operation is often indicated. This has to be done very very carefully and often with a different approach to make sure it fuses correctly. This is a complex problem and is worth a second opinion or evaluation at a tertiary referral center. ...Read more
Nothing can be done?:
You have an answer. To get a different answer will require asking somebody else. Having had prior spinal fusion may be a significant consideration in your case. More information is needed. Lumbar spine x-rays with flexion / extension views might reveal excessive motion above or below the level of fusion contributing to the neurologic problem. (spondylolisthesis)
www. Healthtap. Com/drericweisman ...Read more
After l5-s1 fusion I continue w/ the same diag. L5-s1 herniation, why can't it be surgically corrected?
Scalpel not answer: Surgery is not always the answer. And for back problems, there is increasing data to say that is truly the case. Excercise and rehab have been shown to be very good treatments for back pain. Having been previously fused, it may not even be possible to get to the disk again. ...Read more
How can a grade4cystecele b fixed I have fusedL5/S1 and scs ALL 5 docs so far won't fix it I don't know wat to do?
Have you tried: Have you tried pesserys, a devise that can be inserted into the pelvic vault and removed as needed to help hold the prolapse material back into the pelvic vault. ...Read more
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