Doctor insights on:
Piriformis Syndrome Vs Herniated Disc
Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?
It may be that you : Have them all as everyone ages so by 49 as a male, there are degenerative or arthritis changes in the spine termed spondylosis. By age 60, 20% have some narrowing or stenosis of the spinal canal. Disc herniation can lead to it too all resulting in nerve compression which can cause arm/leg symptoms termed a radiculopathy or in leg also known as a sciatica. ...Read moreSee 2 more doctor answers
IDS: As you age the vertebral discs shrink a bit. The center is a jelly like material and its surrounded by a tough 'sack' of tissue. The jelly center can rupture , sometimes with trauma, and the contents can press on nerve roots. O, the shrinking alone can cause pressure on nerve roots. An MRI can generally tell you whats going on. Sounds like you could have all the above. ...Read more
Herniated disc: If you have a confirmed herniation with an MRI, the first line of treatment is usually a steroid injection around the nerve performed by a qualified pain physician. You may require more than one, but no more than three in a year. If the herniation is large and you have weakness, surgery is the best option. Along with these treatments, you may be given an antiinflammatory medication as well. ...Read moreSee 1 more doctor answer
Nonsensical: The spinal cord ends at about l-2, and most common disc issues are present at l4-5, and l-5-s-1. In order for a disc to affect the spinal cord, we are talking about a problem in the lower thoracic spine, or a rather unusual high lumbar disc fragment, perhaps. Myelopathy means involvement of spinal cord, so are we really using the term incorrectly here? Ask your doc about this. ...Read more
Mrireport l4l5disc bulge bilatral lumberlordosis lost spondylosis deformanswithdddwith cauda equina compression and bilateral compresive radiculopathy?
MRI report: This means you have some spinal arthritis with some nerve compression (lateral compression) and some central compression of the caudal equine (where other defending nerves travel). There is also loss of the normal lumbar lordosis curve which may signify back spasm. This can only be interpreted based on your symptoms and neurological exam. Hope this helps! ...Read moreSee 1 more doctor answer
And the question IS?: I'm afraid your question mark should really be a comma if anything. I'm not catching your drift. Are you asking for a list of symptoms associated with IVD disease without myelopathy....or if one could even exist without the other? Perhaps, you're copying something out of a report? Revamp your question and send through again. ...Read moreSee 3 more doctor answers
L3-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change.No impingement. Conclusion no radicular impingment?
Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?
Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more
Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?
So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
The words=same thing: These r interchangeable ; r used 2 describe the same process. ...Read more
Thoracic disc: Yes. Generally extension exercises can help with a thoracic disc due to the fact that the native thoracic spine is in flexion (which compresses the disc). ...Read more
Can be: ? Whether cervical scoliosis, arthritis & lumbar DDD are related to fibromyalgia, FM. One of the multiple co-factors seemingly co-causal of FM is global muscle atrophy & weakness, leading to widespread myalgia & tender points in spastic muscles repetitively stressed/injured by gravitational forces. Painful skeletal derangements can incite sedentariness with loss of muscle mass/tone. Gravity Rules. ...Read moreSee 1 more doctor answer
Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read moreSee 2 more doctor answers
Related: A herniated disc is just referring to the intervertebral disc bulging out towards the space where the nerves "live". This bulging disc doesn't necessarily squeeze or pinch a nerve root though. A lumbar radiculopathy is when the bulged disc or bone spurs or thickened ligaments irritate the nerve root enough to cause pain shooting down the leg in a particular pattern. Numbness/tingling maybe too. ...Read more
Typical spinal : Stenosis symptoms in the lumbar spine are pains radiating to the leg(s) with progressive standing and walking relieved by bending over or sitting while a disc herniation causes pain into the leg(s) worse with sitting and bending and usually better standing or walking. Both feel better typically lying down. Obviously, there are variables based on several factors in terms of symptom presentation. ...Read moreSee 1 more doctor answer
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