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Doctor insights on: Paracolic Gutter

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C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?

Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more

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Fix without surgery?large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

Fix without surgery?large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

That is a MR Dx. : If U have no symptoms no need 2 treat. If U have severe symptoms U can buy some time with epidural steroids but not permanent. Surgery is very successful if symptoms match the MR findings. Good luck. ...Read more

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C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

Spinal stenosis: That is another way to describe a condition known as spinal stenosis. One way to say it is that you have developed some bone spurs (oseochondral bars) that are narrowing (narrowing equals stenosis) the central part of the nerve canal but not the for amen. I would discuss your findings and treatment options with your doctor. ...Read more

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Female (55) C4 C5 osteophyte complex indents ventral thecal sac/lateral recess. Disc protrusion contacts/flattens ventral hemicord ?

Not sure of your ?: If you're asking about the imaging results you posted, you have a bone spur that is growing off of two of your vertebrae. It is large enough that it is pressing against your spinal cord and possibly some of the nerves that are exiting from the spinal cord. Your doctor will recommend treatment based on the severity of your symptoms. ...Read more

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What does this mean? "L1-L2 level: left paracentral disc protrusion, contacts the traversing left L2 nerve root mild posterior displacement"?

What does this mean? "L1-L2 level: left paracentral disc protrusion, contacts the traversing left L2 nerve root mild posterior displacement"?

It is telling you-: -that you have a disk protruding out from the disk space, & it is taking up the normal space that your L-2 nerve root needs to be happy. Also say the disk is pushing the L-2 root & pushing it back against the boney canal it is surrounded by. Now this is important if you have leg pain that matches theMRI reading. Some are asymptomatic so see a fellowship trained spine surgeon my preference=isortho ...Read more

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Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Is severe nerve root with paralysis of the inner left leg, and big toe paraylis surgicaly repairable. L4 L5 lumbar spine?

Radiculopathy: You don't mention what surgical procedure you've had previously, but an l4-5 entrapment would effect the lower extremity and not the thigh. That level would be l2-3. Assuming you've had the MRI you need of the lumbar spine, i'm surprised you haven't had an implanted stimulator to address the pain. Paralysis of muscle groups can become permanent if the entrapment persists long enough. ...Read more

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Disc bulge w/ post left lat disc protrusion c6-7 mild central/left neural foramina stenosis hemangioma seen w/in left lateral inferior aspect of c4?

Disc bulge w/ post left lat disc protrusion c6-7 mild central/left neural foramina stenosis hemangioma seen w/in left lateral inferior aspect of c4?

Disc herniation: Surgical intervention to the c6-c7 disc herniation is recommended or warranted if conservative care management fails to provide any adequate pain relief and/or progression of neurological deterioration. As for hemangioma and mild stenosis at c4, no surgery is recommended. ...Read more

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What is facet hypertrophy l Flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

What is facet hypertrophy l
Flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

Pain and weakness: can result from compression of the nerves that exit at the level of the narrowing caused by bony overgrowth of the facets (the area where the vertebral bones meet) In the lumbar region the nerves exit at a higher level and "traverse" the space next to the facets below this before they exit the spinal canal at a lower level. Discuss this with your doctor. ...Read more

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C3-7spondylosis rt cntrl narrowing flattening cervical cord mod lft/rt foraminal sten n deg disc dies brd bsd disc osteophyte cmplx form drs wnt touch?

Exam findings?: Pain without neurological findings is suggestive that surgical intervention will not help. Conservative treatment, including anti-inflammatory interventions (medications +/- injections), physical therapy, and bracing might be best indicated. ...Read more

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L5-s1 level, mild broad-based posterior disk bulge, left sided laminectomy enhancing postoperative scar tissue abutting the left s1 nerve root means?

L5-s1 level, mild broad-based posterior disk bulge, left sided laminectomy enhancing postoperative scar tissue abutting the left s1 nerve root means?

Complicated: The scar, may or may not be the reason for the residual pain. If there is no pain, nothing to do, if pain is substantial, there are many factors which need to be considered, historically and radio graphically to understand the situation and to make decisions. ...Read more

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Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Misaligned talus: Is usually what happens with what you are describing. This happens in a pronatory foot. Orthotics are good conservative treatment. An implant between the talus and calcaneus is a surgical option. ...Read more

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At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?

At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?

L5 radiculopathy: This sounds like an MRI report. There is anatomical evidence of the left L5 nerve root being irritated. This may cause numbness of the lateral lower left leg, weakness of bending the ankle upwards, and possibly a tingling or burning sensation. ...Read more

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Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful. Surgery?

Mri shows foraminal stenosis l5-s1, l4-5,  l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful.  Surgery?

Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor. ...Read more

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Neural prolotherapy l5s1 herniation with s car tissue around thecal sac abutting s1 nerve root..Pt, decompression , lyrica, (pregabalin) t3's.Could this help me?

Yes.: Neural prolotherapy, prolotherapy, trigger point injections, acupuncture, massage, myofascial release, rolfing and totally avoiding inflammatory foods may be more helpful than the medication. If there are tender knots in your upper butt muscles, most of your pain might be myofascial. www.blatmanhealthandwellness.com. ...Read more

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What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?

What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?

Arthritis: :worn joint between bones making canal where nerves leave spinal cord tight (stenosis) and disc in between vertebrae are not where they ought to be. It is in the spinal canal moved above and below where they belong. ...Read more

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