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Doctor insights on: Stenosis With Contact Of The Bilateral Traversinig Nerves

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MRI L5-S1 level, posterior spurring identified. Osteophyte contacts S1 nerve root. Moderate to severe bilateral neuroforaminal stenosis. Suggestions?

MRI L5-S1 level, posterior spurring identified. Osteophyte contacts S1 nerve root. Moderate to severe bilateral neuroforaminal stenosis. Suggestions?

Transforaminal epidu: May try transforaminal epidural inyections(see a pain physician)along with some NSAIDs,however if not better surgery to decompress the foraminal stenosis may be your answer ...Read more

Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and bilateral recess stenosis. Is this nerve root impingement?

Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and  bilateral recess stenosis. Is this nerve root impingement?

Maybe: Radiographic findings always need to be correlated to physical examination signs and clinical symptoms. If there are symptoms, perhaps; if not, then the nerve root is not affected. ...Read more

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Can tingling feeling below the knee(left side shin) be a sign of a pinched nerve in TSpine! I have severe bilateral nueral Stenosis T9-10?

Can tingling feeling below the knee(left side shin) be a sign of a pinched nerve in TSpine! I have severe bilateral nueral   Stenosis T9-10?

Probably not.: If it's just one side, it's probably more likely a problem related to your lumbar spine or nerves in the lower extremity. Stenosis at T9-10 will often manifest as symptoms along your ribs. See your physician if you are concerned. ...Read more

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Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

what is the question: You have not asked a question. What you have is osteoarthritis at l5-s1 of a moderate degree. If back pain is a significant issue you have several options that can help. See an orthopedist or rheumatologist. ...Read more

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Have L4-5 Broad disc, no canal stenosis but contacts transisting L5 and exiting right L4 nerve roots. What can this cause? I have dull ache right leg

Have L4-5 Broad disc, no canal stenosis but contacts transisting L5 and exiting right L4 nerve roots. What can this cause? I have dull ache right leg

Correlation: The right leg pain could be due to the disc affecting the right L-4 nerve root, and an EMG test might provide definitive confirmation. However, this is likely to be successfully handled by conservative physical therapy, and if you are patient, eventually the disc could desiccate and shrink. ...Read more

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Mild degen changes throughout lumbar spine with prominent disc space narrowing at l2/3, no sig central stenosis or direct nerve root contact. Pls help?

Prevent DDD: Don't smoke! that is about all that is in your control. The rest is genetic predisposition, and potentially overuse (heavy labor, vibration/heavy equipment, etc.). Remember, ddd is like wrinkles of the skin. It happens! doesn't imply pain. Nothing sold over the counter has been conclusively shown to be preventative. Keep the core muscles in good shape, use good posture and ergonomics at work. ...Read more

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Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful. Surgery?

Mri shows foraminal stenosis l5-s1, l4-5,  l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful.  Surgery?

Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor. ...Read more

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What is involved in clipping spinal nerves for relief of pain from stenosis?

What is involved in clipping spinal nerves for relief of pain from stenosis?

Nerve heating: Spinal nerve clipping is usually done by pain management anesthesiologist by inserting a needle into the back and directing it to the nerve root channel in the spine with x-ray. The needle is then heated to destroy the nerves. It is rare for surgeons to offer open clipping of the nerves. The results vary; some patients have months of relief, some have little benefit. ...Read more

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Specifically, what are the signs that you have bladder/bowel issues related to cerviical spine like bulg discs,stenosis,pinched nerves.?I'm concernd

Specifically, what are the signs that you have bladder/bowel issues related to cerviical spine  like bulg discs,stenosis,pinched nerves.?I'm concernd

Spinal problems: The most common bowel or bladder-related issue due to the spinal cord is incontinence of urine or stool. However, the opposite can be true, resulting in inability to pass urine. If you're having any bowel or bladder related issues such as the above, you should seek medical care immediately. Good luck. ...Read more

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Doesn't spinal stenosis mean that it's bone spurs that pinch the nerves?

Doesn't spinal stenosis mean that it's bone spurs that pinch the nerves?

Pinched nerves: Depending on how severe the nerves are compressed, spinal stenosis just means narrowing of the spinal canal from any- and all causes. Some people have terrible symptoms when standing and walking due to bone spurs; other patients can tolerate it just fine; despite bigger spurs... A good ortho spine doc can look at the scans for you and determine the best course of action. ...Read more

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How can I possibly exercise with 3 pinched nerves from spinal stenosis prevents me from even walking?

How can I possibly exercise with 3 pinched nerves from spinal stenosis  prevents me from even walking?

Spinal stenosis: Patients with spinal stenosis typically have a condition called neurogenic claudication that prevents them from standing straight and walking long distances. Bending forward typically opens up the canal and these patients can often be found leaning against a shopping cart at the grocery store. Core strengthening exercises can help support the spine and minimize pressure on your neural elements. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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What is the safest test/procedure to find what parts of body are affected by bulg.disc, stenosis ,pinched nerves in cervical spine?

What is the safest test/procedure to find what parts of body are affected by bulg.disc, stenosis ,pinched nerves in cervical spine?

MRI/EMG: MRI is the gold standard to assess soft tissue in the spine. To localize and prognosticate a compressive neuropathy, an EMG/nerve conduction study is safe, sensitive, and specific. These tests are often performed together and get the most useful information for physicians to determine best next steps, i.e., conservative management versus surgery. ...Read more

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Can trapped nerves and spinal stenosis cause pain only in toes? My toes are always numb and when l walk l get pain like metatarsalgia. If l press hurt

Can trapped nerves and spinal stenosis cause pain only in toes? My toes are always numb and when l walk l get pain like metatarsalgia. If l press hurt

Possible: But I would get the foot checked to make sure that this is not an orthotic issue which can more easily and less expensively be addressed. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Julie Abbott
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Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more