Top
30
Doctor insights on: Significant Disc Herniaition

Share
1

1
How to reat l1-5 bulged discs significant pain?

How to reat l1-5 bulged discs significant pain?

Depends: Not all bulging discs cause pain, so your problems might not be from all of those discs. This type of pain, typically radiates down the legs and is burning. Conservative measures should be tried first. Neuropathic medications and pt should be your first steps. Interventional pain next and then surgery. Hopefully it does not go that far. ...Read more

3

3
How is lumbar disc retrolisthesis measured? What measurement or greater is significant?

How is lumbar disc retrolisthesis measured? What measurement or greater is significant?

Spondylolisthesis: Doctors assign a grade to spondylolisthesis, which is based on how far the vertebral slip is. It is based on a percentage of the vertebra to the bone below or above it, starting at Grade I for 0-25 percent slippage to Grade IV where the vertebra has may have slipped off completely. Each grade represents a 25 percent slippage. Grades I and II are often responsive to conservative treatment. ...Read more

4

4
If chiropractor heals herniated discs-cervical is disc height restored, adding a significant amount of height to an adult or does it not impact height?

If chiropractor heals herniated discs-cervical is disc height restored, adding a significant amount of height to an adult or does it not impact height?

Disc height: Remember that discs are flexible and not rigid, therefore reducing or restoring a disc herniation does not affect your height. It is somewhat questionable as to whether or not a chiropractor can "restore a herniated disc". Finally we have 7 discs in our necks so the amount of height determined by one disc space is small ...Read more

5

5
What does L2-L3 mild disc desiccation without significant stenosis and disc desiccation with mild disc bulge mean?

What does L2-L3 mild disc desiccation without significant stenosis and disc desiccation with mild disc bulge mean?

Degenerative changes: As we age, motion and loading in the spine will begin to wear down the discs, and they get dry (desiccation) shrink top, to, bottom and bulge as the outer rings waken in the disc. Generally it means you need to strengthen your core muscles, lose weight, stand straighter, exercise more to help ease your back pain. ...Read more

6

6
What is mild lossof intervertebral disc heights atc4-5, c5-6& significant narrowing of right neural exitforamen c5-6&mild narrowing of c6-7?

What is mild lossof intervertebral disc heights atc4-5, c5-6& significant narrowing of right neural exitforamen c5-6&mild narrowing of c6-7?

Wear and tear: The description is of some typical degenerative changes of the cervical spine. The significance would be determined by a clinician doing the appropriate assessment including history taking and physical examination ...Read more

7

7
My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

Nothing: Research has shown that the findings on imaging studies do not correlate all the time with patient symptoms. If you have no problems then don't worry about it.

If you have back pain, it is more likely to be associated with muscle strain than the bulging disc.

Sacralization is common on of no real signficance. ...Read more

8

8
Bilateral disc osteophyte complexes are present in the neural foramina. Most significant at the C5-C6 and C6-C7 levels. What does this mean? Thanks

Bilateral disc osteophyte complexes are present in the neural foramina. Most significant at the C5-C6 and C6-C7 levels. What does this mean? Thanks

Bone spurs: bone spurs crowding neck nerve degenerative changes may cause a certain pattern of arm pain or may be asymptomatic needs to be correlated to symptoms may mean nothing if asymptomatic ...Read more

10

10
What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

What is partially calcified broad based disc protrusion measuring 4mm in ap dimension w/mild central canal stenosis and no significant neural forminal?

Degenerated disk: This is the description of degenerative disk disease as dictated by a radiologist. This is a very common finding and rarely needs surgery. ...Read more

13

13
I did an MRI scan on my lumbar spine and report said 'two non significant disc bulges'. What does that means?

I did an MRI scan on my lumbar spine and report said 'two non significant disc bulges'. What does that means?

Non-significant: This usually will mean that there is bulging of the lumbar disks, but you should not have and clinical symptoms as its very small. In other words, its not pressing on anything. ...Read more

14

14
Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise.?

Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise.?

49 year old spine: Sounds like you have the spine of a 49 year old. It is very common to have minor abnormalities of the discs as you get older. These only become significant when there is a neurologic deficit or pain which directly correlates with the findings on mri. With the findings on this MRI no neurologic findings are expected. Pain is possible but it will be difficult to blame your discs. ...Read more

15

15
19 y o athlete on scholarship who has L5 s1 herniated disc and has tried conservative tx of pt, epidural and meds and rest with no significant relief?

19 y o athlete on scholarship who has L5 s1 herniated disc and has tried conservative tx of pt, epidural and meds and rest with no significant relief?

? MRI done: Large disc herniations with neurological signs or symptoms may require surgery - an MRI can give a good idea of the prognosis - most disc herniations will heal with time.
I have used inversion tables with excellent success in many cases of back pain - chronic seems to respond better than acute but worth a try. The is is a well-studied but underutilized modality. ...Read more

16

16
Mildannular bulges with broad based posterior disc protrusion from C4-5 to C6-7 levels indenting thecal sac without significant nerve root compression?

Mildannular bulges with broad based posterior disc protrusion from C4-5 to C6-7 levels indenting thecal sac without significant nerve root compression?

Age Appropriate: These are age appropriate degenerative findings on MRI. Does not indicate any treatment is needed. We don't treat MRI, we treat the patient. So if you are having symptoms, you spine specialist will examine you, and review your images, and reach a diagnosis of what is actually causing your symptoms, and then direct treatment to those pathologies. Goodluck. ...Read more

17

17
I got a letter from the Neurologist, but no one has explained to me what is means. What does "there is minor disc disease at C4/5 and more significant disc protrusion at C5/6 causing thecal stenosis but no direct cord improvement." Mean?

Standard: Discs degenerate and bulge for virtually everybody over time. The C5-C6 disc is bulging enough that it is indenting the sac that surrounds the spinal cord, but it does not sound as if it is causing severe narrowing of the spinal cord or nerve roots. ...Read more

18

18
Can you tell me what ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?

Can you tell me what ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?

Pain.: Protrusion of a disc which is in between 2 vertebrae can irritate the spinal cord or nerves. This can produce severe back pain. ...Read more

19

19
I would like to know is; what does ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?

I would like to know is; what does ''a significant thoracic disc prolapse at t4/t5 with effacement of the spinal cord mean?

It means that the: Disc at the spine level chest region known as thoracic between the vertebral bones thoracic 4 and 5 has herniated into the spinal canal and is touching or effacing the spinal cord but not compressing it so even though it is significant or large there is still room enough within the spinal canal to accommodate both the spinal cord and disc herniation. ...Read more

20

20
I need help understanding my MRI. C7-T1: 3 mm posterior central disc protrusion contacts the ventral spinal cord without significant deformity.

I need help understanding my MRI. C7-T1: 3 mm posterior central disc protrusion contacts the ventral spinal cord without significant deformity.

Just an IMAGE: Yes, it's not normal; could it cause symptoms? Yes. HOWEVER: MRI is just an image used to confirm a specific CLINICAL diagnosis. You must NOT treat the image; you should treat a clinical condition. ...Read more

21

21
What is a diffuse disc bulge? And what does significant spinal canal compromise mean? I have both from my t12-l1 to my l5-s1?

What is a diffuse disc bulge? And what does significant spinal canal compromise mean? I have both from my t12-l1 to my l5-s1?

Crowded nerves: The bony tunnel which houses the spinal cord and nerves is smaller than normal causing nerve crowding needs to becclinically correlated with symptoms otherwise these are just words on a page ...Read more

22

22
Mri results in lamen terms dengenrated disc at t11-12 and more significantly l4-5 and l5-s1 with annular bulges at l4-5 and l5-s1 taht are focally prominent centrally. No significant facet arthropathy is seen.

Mri results in lamen terms dengenrated disc at t11-12 and more significantly l4-5 and l5-s1 with annular bulges at l4-5 and l5-s1 taht are focally prominent centrally. No significant facet arthropathy is seen.

Degenerated: Degenerated disk is the disk is wearing out and collapsing.
Annular bulges when the disk collapses the disk starts to push out.
Centrally is the location of the bulge in the center, not on the right or left sides.
Facet arthropathy is arthritis or wearing out of the facet joint. You don't have this.

Please see my health guides why does arthritis cause back pain. Good luck! ...Read more

25

25
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

27

27
What is mild spondylosis without small right para central osteophyte & a tiny central disk protrusion with significant thecal sac deformity at C3-4?

What is mild spondylosis without small right para central osteophyte & a tiny central disk protrusion with significant thecal sac deformity at C3-4?

Arthritis: Mild spondylosis = mild aging changes (aka arthritis). Tiny disc protrusion is just what it sounds like. Small right paracentral osteophyte = small bone spur just to the right. With a tiny disk protrusion, I'm betting the report says "without" significant thecal sac deformity, which means no significant pressure on the spinal cord. In a 47 yo patient, all this would be considered normal. ...Read more

28

28
Significant middle back pain. No relief from OTC meds. Mri showed disk bulges t8 thru t11. Is this the cause and what's the treatment going forward?

Significant middle back pain. No relief from OTC meds. Mri showed disk bulges t8 thru t11. Is this the cause and what's the treatment going forward?

Maybe: Disc bulging is not concerning but degenerated discs are. Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. An epidural injection is also very effective. ...Read more

29

29
Why does a disc herniate?

Why does a disc herniate?

Aging: Disc herniation is part of the aging process. Repetitive loading and unloading of the disc causes is to wear out. Disc herniation is part of spondylosis. Of course the are also other factors that may make if more likely for you to develop spondylosis, including genetic factors and smoking. ...Read more

30

30
What is an artificial disc made of?

Mostly metal: The are several different materials but usually it is a combination of metal and plastic. ...Read more