Doctor insights on:
Paracentral Disc Extrusion Treatment
MRI: L4-5 Left disc extrusion (base 15mm, depth 4mm), disc impinges on the traversing left L5 and contacts the exiting left L4 nerve. Treatment?
It depends: 95% of the time Slip Disc resolves with rest, NSAID and proper Physical therapy in otherwise healthy young person. I do not know your age and other condition. If this was post traumatic after a fall, or severe exertion and symptoms are severe; Epidural injection, or oral High dose of Dexamethazone, is given initially to relieve the pressure. If radicular pain persists, consult spinal surgeon. ...Read more
Prev large disc extrusion no surgery as pain improved. Now foot gets freezing cold, esp outer 3 toes + chilblains. Treatment still needed for disc??
Chiblains in foot: Whenever one suspects chibiains in the foot, it should be treated ASAP in order to prevent further damage to the skin and nerve endings. Try soaking the foot in warm water with Epsom salt to see if this helps. If it does not, your Podiatrist or Primary should treat you with a prescription of nifedipine (Procardia, Adalat) to open up the spasm of the blood vessels. Massage therapy may help too. ...Read more
Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?
Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?
How dangerous is it to have a large disc extrusion at c3/c4 indenting the cord but no signal abnormality as of now is it operable?
Is a disc extrusion c/3/c4 that's gone from small to large in a year and a half and indenting cord eventually going to need surgical intervention?
Yes: The major driver for the timing of surgery are signs/symptoms of nerve damage in combination with your level of function and pain. These symptoms include numbness, Tingling, muscle weakness such as decreased grip strength and Muscle Atrophy. An EMG can evaluate the extent of nerve involvement. Physical Therapy can help with symptoms and function. Surgery can remove the extruded disk relatively easily ...Read more
Usually time heals: 90% of disc herniations including extrusions heal over time without surgery. One study looked at mris in people with symptomatic disc herniations & then repeated a MRI 6 months later & the disc herniation was no longer present or significantly reduced in size. For most, it is not only the actual compression of the nerve by the disc, but the inflammation caused by the herniation that resolves. ...Read more
Large central disc extrusion extending superiorly along posterior of C3 measures 6mm AP 9mm transverse and 15 craniocaudal. Serious?
Can be: Any type of cervical spine i.e. neck disc issues can potentially be serious. This is a vulnerable area of the body and can have serious consequences. Please seek the advice of the neurologist or neuro surgeon. Good luck to you! ...Read more
Lrg central disc extrusion c/3 c/4 extending posterior to c/3 vertebral body & indenting ventral aspect of cerv cord. How serious is this?
Symptoms?: Depends on symptoms if this is accompanied with neurologic symptoms it should be corrected ...Read more
I've had s disc extrusion at c3-c/4 that was small in2012 and large indenting cord in 2014 with severe stenosis chances it will heal without surgery?
Ask to see the image: I suggest you ask the surgeon to show you the old and new images so that you can see the "obvious" difference between the old and new images. If the disc is indeed compressing your cord and you have cord compression symptoms (numbness, weakness, unsteadiness, bowel/bladder symptoms, etc) then you will need surgery. Many times the read on the MRI is exaggerated and it is important to compare pics ...Read more
L4-5 increased size of mod./large posterior & right paracentral disc extrusion with cranial extension causing increased severe central stenosis.
Disc bulge: Sounds like a lumbar disc bulge that may be causing you some pain. ...Read more
L5-s1 right paracentral disc extrusion 8mm extending 5mm below superior endplate s1 right l stenosis, abuts right s-1 nerve root help interpret plz?
S-1 Radiculopathy?: Real question here is the effect of the contact with the right s-1 nerve root, is there foot numbness or weakness, is there risk for future nerve damage into leg? An EMG can help objectify current integrity and/or future risk. Films do not necessarily advise surgery, and, the disc may dessicate over next 6-9 months and thereby shrink on its own, if you can be patient. ...Read more
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 more
Lumbar Extrusion: An extruded disc can be thought of as squeezing a jelly donut until the jelly pops out of the doughnut. ...Read more
What is the difference between a herniated disc a disc protrusion and disc extrusion. And which is most serious if the three?
Big difference: Disc Protrusion is when the distance between the edges of the disc herniation is less than the distance between the edges of the base. Disc Extrusion is when the distance between the edges of the disc material is greater than the distance at the base. Disc herniation may vary in severity from case to case. ...Read more
I have multilevel central canal stenosis as well as multilevel severe foraminal narrowing and disc extrusion surgery inevitable?
Most likely. My wife: -had similar & epidural steroids bought her some time, about 5 years, but later got worse & had surgery. My brother had it & waited until he had so much muscle weakness, that his result was not good (he=orthopedic surgeon also). Have confidence in the spine surgeon U choose, B sure fellowship trained. ...Read more
Large disc extrusion at L5 compressing L5, S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.
If I have a disc extrusion at c3/c4 that went from. Small to large in two years time with severe stenosis chances of it healing without surgery?
Disc herniation: While the pain associated with this herniation may improve, it is very unlikely that the herniation will go away by itself. Also, you should ask you doctor if the disc is pinching your spinal cord as this can be dangerous. ...Read more
I am a renal transplanted man, nowadays I am suffering the disc extrusion of c6-c7 compressing spinal cord. What is the medication?
For what?: It's not clear to me what medication you're asking about. An immunosuppressant because of your kidney transplant? Or something for pain control? If latter, minimize use of nsaids like Ibuprofen given their risk to harm kidneys etc. In this case, consider Acetaminophen (paracetamol in india ; elsewhere), tramadol ; other opioids. Discuss your concerns w/your family doc ; nephrologist. ...Read more
Reducing and stopping elavil (amitriptyline) to see if my nerve pain from disc extrusion has eased or is just being masked. How long after stopping will I know??
Not on your own...: Do not do it on your own. Stopping Elavil (amitriptyline) suddenly can give you significant adverse reactions which may include irritability, agitation, sleep disturbance, flu-like symptoms and, rarely, cardiac arrhythmia and should be tapered down with the supervision of the doctor prescribing this medication. ...Read more
L5-S1, is a focal disc extrusion, mild central canal narrowing and left neural exit foraminal narrowing, with details as above. Is this urgency?
What is a right lateral disc extrusion at l3-l4 level that abutted the right L3 nerve root sleeve within neural foramen mean? I had spine MRI done.
Idiagnosed with central cervical canal stenosis and far lateral disc protrusion and a disc extrusion indenting cord. How serious is this. Arm pain?
CordCompression @C5-C6 (bone spurs), Cord compression @C6-C7 due to prominent central disc extrusion w/ inferior migration. Serious? Cause shoulderPain?
Large L5S1 disc extrusion compressing L5 nerve & s1s2 nerve roots. Sciatica&numbness in foot. Can I swim or will it aggravate problem.
TimeOfStrifeSeeKnife: Swimming is a good idea but just go easy at first and see how you do. You'll know if you overdid it if you get too sore within 48 hours (at your tender age). Might be a good idea to get an instructor or therapist to help you at the beginning, if possible--even a friend. And be sure to exercise the arms and chest. Breast stroke with a gentle kick. But it sounds like you'll need more than swimming. ...Read more
If a large disc extrusion at c3/c4 is indenting the cord and have ddd central canal stenosis at same level. How serious is this. Arm neck wrist pain?
See Spine Surgeon: "Indenting the cord" and central canal stenosis is quite serious and can result in permanent nerve damage/weakness. You should see a spine surgeon who completed orthopedic or neurosurgery training immediately. The problem can be decompressed and preserve nerve function. ...Read more
My current MRI of cervical spine shows reactive endplate changes and large central disc extrusion at c3/c4 indenting on spinal cord. Should I Worry?
Herniated disc: Not to worry but you should visit a neurosurgeon in the next week for evaluation and treatment. Hand tingling and weakness is a sign of cord compression. Do not do repetitive lifting and bending (housework/yardwork) until a neurosurgeon sees you because the weakness and numbness could worsen with these activities. Avoid contact sports or jarring exercises (running) too. ...Read more
24hour episode of extreme pain in left lumbar abdomen. Er workup normal except 33mm splenic cyst & and l5s1 disc extrusion. Is one of these the cause?
I have disc extrusion in the l4-l5, the MRI shows it has thickness of 7mm. The pain in left leg subsided, when I walk, there is spasm at the cap muscle?
Previous disc extrusion l5/S1 comp exit L5 & s1, s2 (racepinephrine) nerve roots. Could this now be causing freezing and sore toes. Or can this only be circulatory?
Neuro or Circulation: A L5 S1 nerve root compression can cause you to have sensory complaints in the toes, and can be responsible for the feeling that the toes are cold or that they are sore. It is possible that you could also have a nerve compression further down the chain in your leg, ankle or foot, as well as another neurological condition. Circulation can be responsible for those symptoms ruled out by vasc test. ...Read more
Lower back pain What is a focal DDD at L5-S1 w/ adjacent discogenic marrow changes and a R superimposed central subarticular disc extrusion?
DDD: After the age of 35, the water and protein content of the cartilage of the body changes. This may cause the gradual deterioration of the disc between the vertebrae is referred to as Degenerative Disc Disease. Usually a combination of treatments is used to help manage the disorder. Most patients treated with non-surgical treatments, but in some cases surgery is necessary. ...Read more
Large disc extrusion (c7), but pain is not severe. Arm and hand are numb for 2 months. One surgeon said to wait, another wants to operate. Who knows?
Talk to MD: Nerve symptoms such as numbness, pain and weakness are signs nerve is being compressed in some fashion. This may resolve, but if issues persist or get worse you need to choose a more aggressive option. Don't forget other modalities such as acupuncture and epidural injections. ...Read more
Left middle and index finger numbness. Mri reveals cervical spondylysis with c6-7 leftparacentral foraminal disc extrusion compressing C7 nerve?
I had an MRI 10 days after noticing leaking of urine and strange feelings in the rectum that showed a mild central disc extrusion at L5-S1 without spinal cord compression. I have incontinence and numbness in the groin/genital area. What is this?
Some directions: Young males, age 25, do NOT develop these problems from a mild disc issue at L5-S1, and you need a neurologist to evaluate you ASAP. There are many potential causes, including Multiple Sclerosis, Lyme disease, etc., and I cannot give you a direct answer so far based on above description. BUT do not delay, get this directly addressed!! ...Read more
You save money and: You have a 90% chance of getting better on your own, the same success as if I were treating you non operatively although I could make you more comfortable physically and mentally while your body healed itself as well as giving you advice as to how to minimize its recurrence. ...Read more
Depends: There is no "one best" treatment for a herniated disk. Most normal, healthy people with no back pain have detectable bulges in some of their disks so we know that not every herniated disk even needs treatment. You should see you doc and together design a treatment plan that treats your symptoms and gets you back as close as possible to your desired activity level. ...Read more
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