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Doctor insights on: Severe Left Neural Foraminal Narrowing

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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 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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At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?

At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?

Question?: I am unsure what your specific question is. If these are the findings on a MRI/CT, the finding can be associated with cervical radiculopathy. The symptoms include pain in the lower neck, shoulder, arm, thumb and index finger. Treatments can range for medications, physical therapy, epidural injections to surgery. A spinal orthopedic surgeon or neurosurgeon can help decide on the best treatment. ...Read more

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Broad based disc osteophyte complex effacing the cal sac at c5-6, c6-7, c7-t1 with mild right and moderate left neural foraminal narrowing at each?

Broad based disc osteophyte complex effacing the cal sac at c5-6, c6-7, c7-t1 with mild right and moderate left neural foraminal narrowing at each?

Neurosurgery consult: If you have symptoms of pain or neurological symptoms of numbness or weakness, it may be time to consult with a neurosurgeon to find out about the future need for possible surgery. I always recommend Neurosurgery for the neck. In the meantime, please see your primary care physician for pain treatment if necessary. ...Read more

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What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

Cause for back pain.: It means your main nerves coming from your spine that run through your vertebrae can be suffering of compression because overgrowth of the bony area is squeezing it/them. The pain is caused by the nerve itself that might be irritated by contact with the vertebra. Nerves transmit sensation so pain is triggered this way. F/u with your doctor to create a plan of action for treatment. ...Read more

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Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Usually not quick: Unless neck is injured, the quick paralysis does not occur but a gradually progressive paralysis does occur which a neurologist or astute clinician can detect. It can be fixed by surgery and further progression will stop. ...Read more

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What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

Spinal stenosis: You have arthritis in the mid back (thoracic level 9/10). The joints that connect one level with the next are overgrown and compressing the spinal cord and pinching the nerves as they exit the canal. It is important to see a neurosurgeon for an examination to ensure that there is no neurological problems from this arthritis and to develop a treatment plan for pain relief. ...Read more

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MRI says C6 & 7 bilateral uncovertebral spondylosis results in moderate to severe bilateral neural foraminal narrowing pain & numness hands sugary?

MRI says C6 & 7 bilateral uncovertebral spondylosis results in moderate to severe bilateral neural foraminal narrowing pain & numness hands sugary?

Radiculopathy: The neural foramen are openings along the sides of the spinal canal where the nerve roots exit the canal. Foraminal narrowing or stenosis (due to degenerative arthritis in your case) narrows the openings and can compress the nerve roots as they pass through. This can cause symptoms related to particular nerve roots (radiculopathy). The C7 root exits at C6-C7, hand numbness can result at this level ...Read more

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What is Multilevel Neural Foraminal Narrowing? I'm currently taking oxcotin. Is that ok?

What is Multilevel Neural Foraminal Narrowing? I'm 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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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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What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

Pain generator: This could be causing the left sided sciatic symptoms. Usually need to know more and do an exam to make sense of the pictures. ...Read more

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What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?

What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?

MRI: These are some of most common problems seen on MRI. So this essentially means that these levels of your spine are normal. ...Read more

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What does Degenerative change, greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

What does Degenerative change, greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

Foraminal compromise: Implies the 6th cervical nerve root may be compressed (leading to potential muscle weakness in the upper arm and or radicular pain down to the thumb or index finger) Further information is needed (exam findings) to sort out the significance of both this and the central canal stenosis (I would discuss this with your neurologist or neurosurgeon) ...Read more

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I have c3-4 deciccation w broad posterior disc bulge (3.4mm) causing effacement of CSF space& moderate neural foraminal narrowing. Will I need fusion?

Dr. Kevin Yoo Dr. Yoo
1 doctor agreed:
I have c3-4 deciccation w broad posterior disc bulge (3.4mm) causing effacement of CSF space& moderate neural foraminal narrowing. Will I need fusion?

Depends on symptoms: We do not do surgery based only on films. If you have symptoms that are attributable to findings on films, then surgery should be considered. And even then conservative care can often alleviate the symptoms so that you do not need fusion. ...Read more

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Report says: Left sided neural foraminal stenosis with nerve root impingement at the L5-S1 level Is there anything I can do to relieve pain until tx.

Report says: Left sided neural foraminal stenosis with nerve root impingement at the L5-S1 level Is there anything I can do to relieve pain until tx.

A few steps: Even at age 82, you could try some stretching exercises, and even some McKenzie back exercises. Hot soaking in hot tub or bath may alleviate some of the discomfort. Some meds will interact with your warfarin. But you might be able to gain relief from simple OTC meds such as Aleve, (naproxen) ibuprofen, and maybe you could be candidate for epidural steroid injection. ...Read more