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Doctor insights on: Patent Foraminal

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What is Multilevel Neural Foraminal Narrowing? Im currently taking oxcotin. Is that ok?

What is Multilevel Neural Foraminal Narrowing? Im currently taking oxcotin. Is that ok?

Spinal Nerve Exit: Narrowing of the space that your spinal nerves exit the spinal canal. See picture. At multiple levels ...Read more

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What is a foraminal disc/osteophyte complex?

What is a foraminal disc/osteophyte complex?

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

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What is anterior thecal sac impingement and left foraminal impingement?

What is anterior thecal sac impingement and left foraminal impingement?

Spinal cord/nerve: the thecal sac surrounds and protects the spinal coral. The foramen are small opening which the spinal nerves pass through. Impingemnet is pressing or narrowing of the opening pressing on the nerve. ...Read more

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I have severe bilateral foraminal stenosis. Any chance it can make me disabled?

I have severe bilateral foraminal stenosis. Any chance it can make me disabled?

Unlikely: Foraminal stenosis is a chronic condition that can be very painful and is often treated without surgery. Decompression with surgery can be helpful. It is not as disabling as severe canal stenosis. ...Read more

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What is spondylitic foraminal stenosis?

What is spondylitic foraminal stenosis?

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 more

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Is foraminal stenosis the same thing as spinal stenosis?

Is foraminal stenosis the same thing as spinal stenosis?

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 more

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Is severe left neural foraminal narrowing at c3-c4 dangerous?

Is severe left neural foraminal narrowing at c3-c4 dangerous?

It depends: Not really dangerous but is can cause nerve compression in that area and symptoms from that compression. Sometimes, however, it produces no symptoms. ...Read more

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What is Grade 1 Retrolisthesis of L5 on S1 with mild bilateral foraminal narrowing?

What is Grade 1 Retrolisthesis of L5 on S1 with mild bilateral foraminal narrowing?

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

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Is it possible for a standard MRI to overlook neural foraminal narrowing but an up-right MRI show it? If pain occurs when upright?

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

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Please explain, "There is a small central disk buldge with a superimposed moderate to large left paracentral/foraminal disk herniation." at L4-5. ?

Please explain, "There is a small central disk buldge with a superimposed moderate to large left paracentral/foraminal disk herniation." at L4-5. ?

Herniated disc: You basically have a herniated disc on the left at the L4-5 disc which would typically cause pain or even numbness going down your left leg. Consider seeing a physician to discuss treatment options. ...Read more

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What is: bony facet & uncovert hypertrophy & bony ridging, resultg in multi-level severe foraminal encroachment, most notb right c45, bilat c56 & c67?

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 more

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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

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

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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 more

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What is the treatment for severe left sided neural foraminal stenosis?

What is the treatment for severe left sided neural foraminal stenosis?

Bending to the right: To make the foramen on the left slightly larger. Surgical decompression may be an indication if you start having weakness or loss of muscle in the affected area. ...Read more

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Severe cervical foraminal stenosis. Are there any effective treatments?

May require surgery: Severe cervical atenosis oftenresults in pain, numbness, even weakness and muscle strophy. Seek an orthopedic, or sometimes neurosurgical consultation regarding function, possible non-surgical treatment and surgical options. ...Read more

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What do "broad based posterior spurring", "disc osteophyte complex" "mod. bilateral foraminal narrowing" degenerative endplate uptake" mean?

What do "broad based posterior spurring", "disc osteophyte complex" "mod. bilateral foraminal narrowing" degenerative endplate uptake"  mean?

OSTEOARTHRITIS: "DEGENERATIVE" arthritis (Wear and Tear) of the spine is most likely the reason for these x ray findings!~ There is treatment Consult with your PCP (Primary Care Provider) Hope this helps Dr Z ...Read more

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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?

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