Doctor insights on:
Spinal Disease Tailbone Disorders
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
This is a very general term. Spinal disease can occur in the cervical (neck), thoracic (mid back), or lumbar (low back) spine. Typically, patients will have neck or low back pain secondary to degeneration of the spine or wear and tear. Patients can suffer disk herniations, spinal stenosis (narrowing of the spinal canal), formation of bone spurs, etc. Pain can also be due ...Read more
Can cervical radiculopathy and intervertebral disc disorder with myelopathy, cervical region cause bladder problems?"
No one knows : There seems to be an interplay of genetic and environmental factors that cause this disease. Women who have had one child with spina bifida, or who are obese or diabetic have an increased chance of having a child with the problem. It is known that taking Folic Acid during the fertile years decreases the chance of having this problem. ...Read moreSee 2 more doctor answers
Is there autoimmune disease that attacks ur spine? Spinal disease... Spine has degenerated extremely in past 6 ys, 7 spinal surgeries many more 2 com
What does normocephalic, atraumatic without any lesions mean? I have degenerative disc disease, bulging discs, herniated discs, empty cell syndrome, atypical hemangioma in l10 spine.
Cord compression due: To disc issue in the neck region usually with degenerative disc disease ; a small spinal canal diameter. Prior history of neck injury can accelerate degenerative changes ; smokers accelerate this rate 4x over a nonsmoker. A herniated large disc can cause a myelopathy which is cord compression but it is most often associated with degeneration leading to a too narrow spinal canal for the cord. ...Read more
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
What causes spina bifida? Is spina bifida caused by a spinal cord injury, or a chromosomal disorder?
Spina : Spina bifida is not an injury. It is a birth defect caused by failure of the nervous system to fully develop. When the embryo is forming, the nervous system starts out as a "neural tube" that is supposed to grow in a very specific way. If it does not, you are left with "neural tube defects" like spina bifida. There is nothing we know of that causes it for sure, but certain things make it more likely. It is more common with children that have trisomy 13, 18, or 21, but that is just an association, not a cause. They are very common, and the only thing we know of that might help prevent them is for the mother to take folate (folic acid). The hard part about that is the mother has to take folate (folic acid) very early in the pregnancy, often before she even knows she is pregnant. That is why the all women of child-bearing age are advised to take at least 0.4 mg of Folic Acid every day. ...Read moreSee 2 more doctor answers
Yes: Though there are many causes of ed and many, if not most, pts with ed have a combination of physical and/or psychological factors as the basis for ed, there is no question that lumbar disc disease or lumbar spinal stenosis can not only cause or contribute to erection problems but can also affect normal bowel and bladder function as well depending on the location and severity of nerve involvement. ...Read more
Yes: Working with a chiropractor is a common conservative treatment option. Check out spine-health.Com. ...Read more
What type of injury?: Upper motor neuron, or lower motor neuron injury will start to guide the management. Then there are too many variables that will need to be considered. A sci bowel routine is best developed with a specialist in the field. See an sci doc or nurse they can help. If unable consider this, the paralyzed veterans of america have developed a consumers guide to sci bowel care. Download for free at pva web. ...Read more
It is rare: In most people, the tip of the spinal cord is at the bottom of l1, the first bone in the lumbar spine, so all lumbar disk herniations miss the spinal cord, even large ones. There are some folks with tethered cords, so the spinal cord is elongated. Since the tether can cause the cord problems, in such cases a large disk herniation could be double jeopardy. This is rare but serious. ...Read more
Need more info: Lumbar disease usually cannot cause myelopathy. Myelopathy is compression of the spinal cord or an intrinsic brain disease. The spinal cord ends at about L1 (the upper most part of the lumbar spine) in most patients so lumbar disease (meaning the lower back area) doesn't cause spinal cord compression. A more specific question may be more helpful. ...Read moreSee 1 more doctor answer
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
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