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Doctor insights on: Spinal C5

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Dr. Sheila Smith
366 doctors shared insights

C5 (Definition)

C5 refers to the fifth vertebra in the neck. The first vertebra is at the base of the skull, so the fifth is in the middle of the neck. Injuries to the spinal cord above this level impair the ...Read more


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What are wheelchair transfers after a spinal cord injury?

What are wheelchair transfers after a spinal cord injury?

See answer below: Wheelchair transfers refer to transfers that a person with a spinal cord injury who is using a wheelchair must perform when going from the wheelchair to a bed, to a couch, to a car, to a shower bench, and back into the wheelchair. Sliding boards are initially used to make the transfers easier. ...Read more

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Why can't surgeons separate fuse verterbrea in c2 And c3 area, what if that verterbrea compressing the spinal cord or nerve, are they just leave it.

Why can't surgeons separate fuse verterbrea in c2 And c3 area, what if that verterbrea compressing the spinal cord or nerve, are they just leave it.

Decompression: Some people are born with bony connections between vertebrae, sometimes called "block vertebrae." Surgery to disconnect them would not restore normal movement. But if there is pressure on the spinal cord or nerve roots from bone or disk causing symptoms of pain, weakness, numbness or tingling, we can usually relieve that pressure with surgery. See a neurosurgeon or orthopedic spine surgeon. ...Read more

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Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?

Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression.  Surgery needed?

Need for 2nd O.R.: Adjacent level changes are common after fusion surgery. Conservative treatment is still warranted like therapy, body mechanics, and facet ( joint) injections, but surgery may be an appropriate option at the appropriate time. ...Read more

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Cervical spine compression of nerve?

Cervical spine compression of nerve?

Radiculopathy: Typically you will feel referred, burning, radicular pain in a dermatomal distribution, depending upon which nerve root is being compressed. ...Read more

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Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

Mri- c5-6 there is apparent central bony bar abutting the ventral cervical cord. What does this mean?

May mean nothing : The bar is a bone spur. Caused by disc degeneration at that level. It is a common finding and may not mean anything clinically. The important question is whether or not there is actual spinal cord compression. Per your question, it sounds as if the spinal canal is narrowed a bit (stenosis), but there is not any spinal cord compression. Frequently, pt and traction can be of benefit. ...Read more

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Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Would spinal cord stimulation help block pain caused by peripheral neuropathy in the feet?

Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read more

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What is the recovery time after having a Spinal Cord Stimulator Battery replaced.

What is the recovery time after having a Spinal Cord Stimulator Battery replaced.

Ask the Corp: The company who provide the device and certify the physicians are the best people to ask. They will have to answer to you if they are incorrect and they have specific experience with this procedure. Hope it goes well. ...Read more

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Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Diagnosed with genitofemoral neuralgia as a result of spermatic cord denervation procedure. Lots of pain and numbness. Would neurectomy help?

Challenging: Have found that these kinds of problems may deteriorate further following additional procedures, and better to try drugs such as Lyrica (pregabalin) or Cymbalta, with physical therapy, and exercise. A medical food called MetanX twice daily may provide benefit over several months. A local nerve block or even a sympathetic block may be tried. Would delay neurectomy. ...Read more

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Ongoing pain in neck and trapped nerve. After having a mri and xray it has been confirmed bulging disc between c5 c6. Surgery next option?

Ongoing pain in neck and trapped nerve.  After having a mri  and xray it has been confirmed bulging disc between c5 c6.  Surgery next option?

Cervical spine surge: Surgery should be your last option. More than 90% of damaged discs heal by themselves over time. For ongoing nerve pain and neck pain , you should get a cervical epidural steroid injection done by a qualified and experienced pain physician under x-ray guidance. Also start physical therapy as soon as you can to relieve muscular spasm. ...Read more

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I have cervical myelopathy. Should I have a spinal fusion, laminectomy or adjustment?

I have cervical myelopathy. Should I have a spinal fusion, laminectomy or adjustment?

No adjustment!: Myelopathy means you have symptoms due to pressure on the spinal cord in the neck. Adjustments are absolutely out of the question. A decompression or fusion is the most appropriate treatment to stop progression of symptoms. However, the kind of procedure is dependent on the reason you have myelopathy. You need to see a spine surgeon in order to fully evaluate your problem. ...Read more

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Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. foramen encroc@ C4-5?

Post. disc herniation w/ assoc. annular tear,completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. foramen encroc@ C4-5?

Spine Specialist: By definition you have spinal stenosis in the neck due to the disc herniation. If it is causing problems, see a spine specialist to discuss your options. Epidural steroid injections may relieve the pain, but the disc will take time to heal. If its getting worse or your are noticing weakness see a surgeon to discuss your options. ...Read more

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Are multiple MRIs w/out contrast safe? I've had 4 in the past 11 months (ankle, brain mra, brain mri, and another ankle). I'm concerned about exposure

Are multiple MRIs w/out contrast safe? I've had 4 in the past 11 months (ankle, brain mra, brain mri, and another ankle). I'm concerned about exposure

You're fine.: There is no radiation exposure from MRIs. They use magnetic fields instead of radiation for their images. There is no known danger to this. Don't worry about your MRIs. Hope this helps. ...Read more

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Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Yes: There is absolutely NO clinical evidence that any type of surgery, anesthesia, or standard clinical injections can affect the trajectory of MS, and radio frequency ablation should be relatively safe. ...Read more

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How long does a caudal epidural steroid injection provide pain relief for compressed disks?

How long does a caudal epidural steroid injection provide pain relief for compressed disks?

Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read more

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What are the symptoms following spinal cord injury?

What are the symptoms following spinal cord injury?

Numbness, paralysis: Spinal cord injury affects the function of things below the site of the injury. There is a direct relationship between the spot on the cord damaged and changes below that point. So, the higher up the injury, the more damage is noted. This can be leg numbness or paralysis, the same for arms and if the neck is involved, breathing may be affected. ...Read more

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X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more