Doctor insights on:
Medicine For Tethered Cord
I have T5-6 Extrusion onto a tethered cord causing high grade cord compression, effacement and flattening. Is there a pain solution other than drugs?
Tethered spinal cord: Not an easy question to answer - sounds like you have significant cord compression and need some surgical options considered. The pain is from the compression of the roots and cord - I would suggest a consultation with a neurosurgeon to discuss the various options of treatment. ...Read more
A tethered spinal cord is when the spinal cord becomes attached to tissue around the vertebral column, most commonly at its base. Consequently, the spinal cord cannot move freely within the canal of the vertebral column. This may cause the spinal cord to stretch out as the vertebral column grows, leading to possible nerve damage, pain and other symptoms. In most cases, the condition becomes worse over ...Read more
Quite rare: The spinal cord gradually moves up the spinal canal with growth. If the cord (filum terminale) that connects it to the bottom of the spine is too tight, traction develops with growth. Mri can show thick cord and low lying cord that may need surgery to release. Incontinence and difficulty in use of the legs may develop to indicate need for surgery. If no symptoms, no need to treat. ...Read more
Tethered spinal cold: A tethered spinal cord is when the spinal cord becomes attached to tissue around the vertebral column, most commonly at its base. Consequently, the spinal cord cannot move freely within the canal of the vertebral column. This may cause the spinal cord to stretch out as the vertebral column grows, leading to possible nerve damage, pain and other symptoms. In most cases, the condition becomes worse over time, requiring surgical correction. ...Read more
Spinal cord problems: The syndrome results from a stretching of the spinal cord which may be clinically manifest by pain, weakness, sensory changes, gait disturbance, or bowel and bladder dysfunction. The symptoms will often present after growth of the patient which may result in further stretching of the spinal cord. Sometimes repetetive movements may also trigger the symptoms. ...Read more
Spinal cord low: In fetal life, the spinal cord segments line up with the vertebral segments. As a child grows, the end of the cord rises. In a tethered cord, it is fixed in place and cannot rise. As a result the cord is put on stretch. Consequences include problems with bladder and bowel function when your would have expected toilet training would be completed. ...Read more
Tethered Spinal Cord: Syndrome refers to ~ 6 congenital spinal cord anomalies as well as trauma to or surgery of the spinal cord. Neurological & musculoskeletal signs & symptoms, therefore, vary with age & developmental stage. An older child or adult can manifest bladder & bowel incontinence, weakness, numbness, pain &, in kids, progressive deformities of the legs & feet, difficulty standing or walking & back pain. ...Read more
Tethered cord: Tethered cord is a term used to described the spinal cord being "tethered" a situation where it is too low in the lumbar region. Normally the cord ends at what we call the t12-l1 level, anything below the L2 is considered tethered meaning too low. The decision to surgical treat this, or untreated the cord is based on the child's neurological symptoms. ...Read more
My daughters buttcrack is crooked at the top along with a dimple looking area in the middle of the crooked part, could it be a tethered cord, she is 2?
Ask her doc: This is an occasional finding in otherwise normal infants but one that I always monitor a little closer than others. Since the studies to pick up a tether are not all that reliable until they are a little older, there is no hurry to do invasive studies. ...Read more
Rarely associated: Most sacral dimples are not symptomatic and do not require evaluation or treatment. Only rarely are sacral dimples associated with a tethered cord. If you have symptoms such as feeling weak or numb in legs, if there are issues with bladder or bowel control, you should have it evaluated - usu including MRI or CT. Size of dimple, hair association, and skin discoloration also offer some hints. ...Read more
Yes: There are several potential causes of tethered cord and many of them have nothing to do with spina bifida. It can be sorted out with a good neurologic exam and perhaps an MRI of the lumbar spine. Tethered cord is not common however, and there are many much more common reasons to have pain or weakness in the legs (if that is what you are experiencing). Good luck. ...Read more
If a child had a tethered cord and has leg pain, where would the leg pain be located? And how could it be described?
My daughter is 4 years old. She was diagnosed with tethered cord syndrome when she was around 9 months old. She's has had a tethered cord release, but?
Tethered cord.: Tethered cord diagnosed at this early age is difficult. What were the symptoms did she have to make the diagnosis. ...Read more
Its a stretch:
Since the cord is tethered at the exact opposite end (the tail)
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC2565560/ ...Read more
I hv spinal cord adult teratoma with tethered cord syndrome opetated before two months. Can I ride bicycle or motor bike. Pl suggest?
Newborn has v at top of bum crease and what looks like a small stork bite (5-7mm) about two inches above in midline back. Unlikely tethered cord?
Yes, unlikely: Look up pilonidal dimple and pilonidal sinus. Dimple is not rare and commonly benign. Sinus can be an issue. If you are worried then you need further evaluation via a pediatrician. If the situation warrants then an MRI might show evidence for tethered cord, but this is a rare condition. ...Read more
My 5yo kid has dimple w/small sacral tag. Mri 3yrs ago r/o tethered cord etc. Now complains of pain when touched-bath/wiping. No injury. Why? What do?
Infected?: It is hard to say but pain and/or any redness might be associated with infection. Especially if there is any drainage. I would have his doctor take a look at it. ...Read more
My 1-year-old son has a sacral dimple, and they are advising an MRI (with anesthesia) to check for a tethered cord. Is this really necessary?
Why is there squishy puffiness at the base of my spina bifida child's spine? He had a tethered cord surgery 4 years ago and it's around the scar.
Difficult to say.: It's hard to say without examining him. It could be anything from keloid to infection; please have his doctor see him this week. ...Read more
Newborn has a tiny vascular birthmark on lower midline back like a port wine stain and a tiny dimple in gluteal crease. Is this likely tethered cord?
My son suffers from chronic back and testicular pain that comes and goes. He had tethered cord release & has syringomyelia t7-t9. Ideas for pain mngmt?
See osteopathic dr: It never hurts to get a second opinion with an osteopathic physician, who commonly sees spinal conditions requiring pain management, especially if it involves chronic back pain, and history of syringomelia. Since you didn't state the age of your son, the management will be different depending on the age of the child, or teenager. Do keep that in mind. ...Read more
My 4y.O has freq neck pain-noticed most on days she has pt where they work on heel-cord tightness. Her MRI ruled out tethered cord. Could it be wrong?
Very unlikely: But have the doctors assessed her upper spine. Most of these kids have a natural level of inflexibility which hurts when overuse of the muscles occurs, such as during therapy. A rare condition such as a vertebral anomaly or a chiari malformation may cause such symptoms. Unfortunately, space limitations prevents an explanation, but ask your pediatrician. ...Read more
I am 17 year old with a 7 mm synovial cyst at right facets atl4-l5 outside the spinal canal. My baby brother had tethered cord /syringomyelia. Should I be concerned?
Likely unrelated: While it could be possible that there is a slight increase of spinal problems in your family over the general population a synovial cyst is not related to a tethered cord. As long as it is not causing compression of the nerve roots a synovial cyst can very well be watched but I would discuss this with your doctor. ...Read more
I'm 37 years old have spina bifida occulta which has never really caused much grief except for kidney failure now have numbpatch on leg, tethered cord?
Not likely: A tethered cord may be a problem during periods of rapid growth during childhood. As an adult, it is very unlikely to start causing a problem. Minor numbness is common in normal persons and may be a trapped or pinched nerve. Tight clothing may be a cause or pelvic problems including inflammation of kidney or uterus or ovaries, etc. Discuss this with your doctor. May need pelvic ultrasound. ...Read more
Won't emg to test obturator neuropathy secondary to fascial tethering in sports medicine not work b/c emg only shows severe denervation?
Has anyone done or does anyone know who does release of obturator nerve secondary to tethering to fascia in sports medicine pelvic injuries?
Tethered spinal cord: Normally the cord or conus ends at L1-L2, if the ending at at L3-L4 then this by definition a tethered cord. A clinical evaluation by a neurologist would need to be done to see if this is a "symptomatic" tethered cord. ...Read more