Doctor insights on:
Spinal Cord Impingement
Degenerative disc disease with bilateral neural foraminal narrowing with spinal canal narrowing and spinal cord impingement at L2-L3(9mm) with neurofibroma-will these conditions be treated without any surgry?
Tricky: first, if there are signs of nerve damage (strength, sensation, changes in control of bowel or bladder) then surgery is indicated. Then.... 1-10% of the population has lumbar disk disease and surgery is not generally done and doesn't have that good of an effect when it is. Neurofibroma in spine complicates things. A Lot. It's a growing benign tumor and surgery might spread it. Radiation therapy. ...Read more
I have IH and how do I know when to go to ER for LP? Also have you heard of discs pressing spinal cord causing impingement on csf flo? I dont have a leak.
Why the ER?: Intracranial hypertension is NOT an emergency. Using the ER as a walk-in clinic is a MISuse of the ER and ER staff. Why are you posting that question here? You can't just order up an LP. You and your doctor together properly should decide if you need one. Ask him/her when you need one. Your doctor can then schedule it as an outpatient procedure ("day surgery"). That's the way to do it. ...Read more
An MRI report shows no central cervical spinal canal stenosis but does show a right sided foraminal narrowing. Any impingement on the spinal cord?
Puzzled: If there were impingement on the spinal cord, the report would say so. Presumably you didn't just wander into an MR center & make an impulse purchase. The MRI was ordered by a Dr who took a history & did physical. It's Dr's responsibility to review test results with you or if he can't, to find someone who can. You have a right to an explanation in terms you understand. ...Read more
Can be: But a careful examination by a specialist can tease out the difference. ...Read more
YES: Damage to the nerves that supply the perineum may result in penile numbness. It is well known that bicycle riding, which is an excellent aerobic exercise, may result in penile numbness. This may result from nerve damage or vascular compression resulting arterial insuffiency, swelling and even blood clots. If you're having numbness your pcp may refer you to a urologist & neurolidt for evaluation. ...Read more
Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?
Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary. ...Read moreSee 2 more doctor answers
Spinal fluid (CSF): Cerebrospinal fluid is produced deep in the brain and then flows down and out around the spinal cord, bathing the brain and cord in protective fluid. It is primarily water with ions (sodium, potassium, calcium, magnesium), protein, glucose, and other trace substances. ...Read moreSee 1 more doctor answer
Bad Prognosis: If spinal cord is severed, all functions inferior will be essentially ablated, and paralysis, sensory perception loss, and bowel/ bladder function will be destroyed. A crush is more variable with maybe some preservation of function, but could be as severe as through and through cut. ...Read more