Doctor insights on:
Spinal Nerve Exit: Narrowing of the space that your spinal nerves exit the spinal canal. See picture. At multiple levels ...Read more
cause of pain: In the spine the nerve roots exit out thru a space in the bone called the neural foramen. The exiting nerve root can become compressed/pinched as the exit thru the foramen from a combination of factors to include hypertrophy of the adjacent facet joint (osteophyte), as well as herniation of the intervertebral disc material...Ie the disc/ostephyte complex. ...Read more
See below.: Spondylitic foraminal stenosis means that the foramina is being obstructed by a bone spur.Foraminas are the bone formation between ttwo vertebraes, they form a circle like space that is used by the nerve roots when the leave the spinal cord to go to the extrmities.Stenosis is the word used to demostrate a narrowing or stricture of a passage. ...Read moreSee 1 more doctor answer
Sort of...: Spinal stenosis means there is decreased space available for the spinal sac & spinal nerves. This can be due to pressure from bulging discs, arthritic joints, thickening of the spinal ligaments, tumors, congential problems, etc. Foraminal stenosis is decreased space available for one of the individual nerves around the area that it exits off the main spinal canal (known as the neural foramen). ...Read moreSee 1 more doctor answer
XRay findings: This means that your L5 vertebral body has moved slightly backwards over S1. Grade 1 means it is mild. The foramina are holes in the vertebrae wear the nerves exit. They can become narrowed with arthritis, etc. "Mild" indicates that this should probably not be causing symptoms. ...Read more
Is it possible for a standard MRI to overlook neural foraminal narrowing but an up-right MRI show it? If pain occurs when upright?
Upright MRI: There are upright MRI scanners. I am not aware of a good study stating upright MRI is better than regular MRI for spinal stenosis. There are anecdotal examples of herniated disc seen only on the upright scan. These scanners are lower resolution than conventional MRI which could cause other findings to be missed. There are only a small number of these scanners in practice in the us. ...Read more
Please explain, "There is a small central disk buldge with a superimposed moderate to large left paracentral/foraminal disk herniation." at L4-5. ?
What is: bony facet & uncovert hypertrophy & bony ridging, resultg in multi-level severe foraminal encroachment, most notb right c45, bilat c56 & c67?
Neck arthritis: This means that you have quite a bit of cervical spine arthritis. The nerves that exit from your spine going towards your shoulder and arms are being compressed due to the bony arthritic overgrowth. Some people who have this have no symptoms. Others can have severe neck pain and arm pain, numbness, tingling, weakness, and muscle loss. Hope this helps! ...Read moreSee 1 more doctor answer
If you have a diffuse disk bulge with a superimposed right paracentral and foraminal extrusion what is the best way to treat it waiting for the answer
The : The question describes a finding from an MRI examination. Treatment should always focus on patient symptoms. That being said, typical symptoms from a right paracentral and foraminal disc extrusion would include elements of pain, numbness and tingling radiating into the right leg. Conservative therapy would include rest and oral anti-inflammatory medications. Therapy may progress to include an imaged guided steroid injection around the involved nerves. Physical therapy may be involved. Patients who fail to respond adequately to these conservative measures will require evaluation from a neurosurgeon. ...Read more
I am deathly afraid of going under any type on anesthesia. I have a foraminal nerve block scheduled for tomorrow and I am worried about mac anesthesia. What should I do?
MAC anesthesia: Mac refers to "monitored anesthesia care". You will not be going under general anesthesia. The anesthesiologist will monitor your vital signs and give you some IV medications to help you relax while you have your nerve block. You may be so relaxed you will not even remember much of the experience. You will be watched over every moment to ensure your safety. We hope you will feel much better after! ...Read moreSee 2 more doctor answers
What do "broad based posterior spurring", "disc osteophyte complex" "mod. bilateral foraminal narrowing" degenerative endplate uptake" mean?
MRI: "There is mild-mod right foraminal narrowing on the right side at L4-L5. The dural sac and contents appear unremarkable" What does this mean?
The foramen is: the opening through which a nerve root exits the spinal canal. When it is narrowed, usually by degenerative arthritis and/or a disc herniation, it can pinch or squeeze the nerve root going through it, possibly causing symptoms. In your case it would be the right L4 nerve root. The dural sac is the membrane surrounding the spinal cord. ...Read more