Doctor insights on:
Mr Lumbar Spine With Contrast
I have a low GFR Stage 3. MRI has been suggested for me. Would I definitely need contrast for lumbar spine issue?
It depends: on the "issue" in question. If it is simply a workup for back paiin, contrast is probably not needed. If it is a workup for tumor/metastatic disease, or postoperative spine, contrast would be very useful. ...Read more
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
How long will an MRI with and without contrast take for the area of the brain, cervical, thoracic and lumbar spine?
Will a CT scan of the lumbar spine post fusion without contrast show pinched nerves or just bone structure and hardware?
I had a fusion L3-S1 in Dec. my nerve pain came back & is worse & my lumbar spine pops. My PCP ordered a ct scan w/o contrast.What could be going on??
I am scheduled to have a ct-myelogram w/contrast. I had a reaction to the contrast material previously. I had a prior reaction. I have a charite artificial disc in my lumbar spine. I have a spinal fusion above and below the disc. L3-l4 are fused with the
"Contrast" : "contrast" is a preparation that is used in medical imaging to increase the visual difference between similar or adjacent tissues. Contrast can be as simple as frothy salt solution, which is useful in some ultrasound studies, or much more complex, such as the gadolinium-containing molecules used for contrast in MRI studies. Ct contrast contains iodine, an element whose properties block x-rays that are used in the ct scanner. Common benign responses to iodine-containing contrast includes flushing (a pretty noticeable sense of warmth) and a metallic taste in the mouth. More profound responses include itching, hives, and swelling in the throat. These are called "anaphylactoid" reactions. The risk of anaphylactoid reactions can be reduced with medications like Diphenhydramine and corticosteroids. These sorts of reactions are common enough that radiologists and radiology technicians can spot them quickly, and all ct scanning suites are equipped to deal with them. Seafood and topical iodine allergies are not predictors of who will develop an anaphylactoid reaction to ct contrast (although this is a widely-held erroneous belief). Another response to ct contrast is kidney injury. The risk of kidney injury might be reduced by things including avoiding certain medications and keeping well-hydrated prior to the procedure. Concerns regarding reactions to ct contrast are valid, and should be addressed with the physician who orders the test as well as the physician who is responsible for performing the test. ...Read more
Paraspinal Muscles?: Paraspinal muscles position the spine. Keeping these healthy reduces arthritis, disc and nerve (radiculopathy) problems. I have severe lumbar arthritis, Not getting surgery. I do core strengthening and flexibility exercises every day. Google exercises on core muscular strengthening, low back mobility, hamstring stretching. Then do the exercises as often as needed. Every day is not too often. ...Read more
Decrease in : The normal curvature of the lower back which places disproportionate amount of force on the lower lumbar disks and joints leading to accelerated degeneration of these structures compared to ones with a normal curvature. ...Read more
Overlapped ??: An "overlapping" lumbar spine is not a recognized diagnosis. Whomever suggested this is likely not a physician. If you have a symptomatic problem with your lumbar spine see an orthopaedic surgeon or start by seeing your pcp. ...Read more
Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. ...Read more
A few diagnosis can: Relate to lumbar spine straightening. The most common is paraspinal or ilipsoas spasms are the most common cause. Other issues can be related as well, including postural issues, inflammatory issues such as ankylosing spondylitis, or sacral issues that can lead to lumbar straitening. Hope that helps! ...Read more
It varies: For many folks it is painless. It is simply part of the aging process. Depending on your genes, some degeneration begins during the teen years; everyone has some by the mid 60s. In other folks, spondylosis can be associated with pain, stiffness, nerve compression and symptoms like leg pain, numbness, tingling, weakness, trouble walking, even trouble controlling the bladder or bowels. ...Read moreSee 1 more doctor answer
Physical therapy: After a lumbar spine fusion with instrumentation, most patients are mobilized within a day or two. They progress with physical therapy. The incisions are usually healed within a week. Ultimately, the fusion needs to become solid. This may take about 3 months. During that time physical therapy is key in getting the patient moving and overcoming the pain from surgery which can be significant. ...Read more
Pinched nerve: The answer depends on the meaning of the pinched nerve. I need further information to comment on this. A complete neurological exam is necessary to make sure there is no ruptured disc or other symptoms like pain radiating to legs. If it means simple low back due to muscle spasm, then simple stretches, ibuprofen, and moist heat may help. But i need further medical information regarding pinch nerve. ...Read more
Depends if they are: Causing problems. A study of asymptomatic patients (no pain or other issues) showed that roughly 40% have bulging or mildly herniated discs and no issues. You may want to be more careful and work on core strengthening to help support those discs. Exercise, hydrate, and keep in shape and as long as you don't notice symptoms, you may just be part of that 40%! ...Read moreSee 1 more doctor answer