symptoms of l4 nerve root compression

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What is the treatment for having 2 thecal cyst at S2 n a disc bulge at L4/L5 with annular fissure centrally. No nerve root compression or narrowing?

Annular tear

Cyst
Best thing is to probably continue with conservative care, anti-inflammatories and a responsible exercise program that is flexion based. Extension puts more pressure on the back of the disc and it might make things worse... The cysts in the lower spine are probably benign Tarlov cysts and they are typically not associated with pain. Remember, back pain does typically not improve from back surgery.
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Dr. James Henning answered:

Mri states severe bilateral neural foraminal encroachment with l4 and l5 nerve root compression . Have had esi no help severe pain gait and motoring issues.Spinal surgeon says see neurologist what sho?

Good First Step

Computed_tomography
As an anesthesiologist and internist, I completely agree with your surgeon. The first step is to evaluate your candidacy for either PT or transforaminal (CT- guided) injection before going to the slightly more invasive percutaneous, or open surgical, discectomy. It's wise to approach your condition "conservatively," unless severe pain or loss of nerve function require more rapid action. No worries
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Hi doctors, can you tell me what is s1 nerve root compression?

S1 compression

Open-uri20130416-14171-k82d6e
S1 nerve root compression usually comes from a herniated L5/S1 disc. It causes pain in the back of the leg, decreased plantar flexion and decreased ankle reflex. Hope that helps
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Dr. Daniel A. Fung answered:

Can it be nerve root compression if straight leg raise, flexion, extension, side to side flexion of the torso, are all negative?

Yes

Extremity-leg
There are many physical signs of nerve root compression and not all have to be present to raise suspicion. Straight leg raise, flexion, extension, side to side flexion are some. Other concerning findings are radiating pain down the leg, weakness in particular muscles, numbness or tingling in particular areas. Diagnostic tests that can of benefit include a EMR, MRI or diagnostic injection.
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36 years old femsle, Pain right side chest since 1 year. MRI Report: disc at c3-c4 causing thecal sac and nerve root compression.

Likely unrelated

Nerve
Many disc bulges are asymptomatic. A C3-4 disc generally impinges the C4 nerve root which mainly would cause pain in the neck-shoulder region, not the chest
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Dr. Alan H. Ali answered:

Would Lyrica be a good choice for radiculopathy pain caused by nerve root compression in lumbar even if gabapentin and cymbalta failed to work?

Lyrica

Lumbar
Yes it is, at the therapeutic dose, as tolerated.
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Dr. Ari Ben-Yishay answered:

What are the risks of long term nerve root compression in low back if pressure can't be relieved by surgery? Chance of nerve damage? L3-S1 region.

Unclear

Nerve_injury
Risk of long term nerve compression is chronic pain, numbness or even muscle weakness depending upon how severe. Why cant it be relieved with surgery?? is my question.
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MRI shows antero-listhesis of L5 on S1, associated with bilateral L5 nerve root compression within the neural exit foamina.Numbness/tingling in legs and arms comes and goes and inflamed eye.Prognosis?

Spondylolisthesis

Open-uri20130416-14171-k82d6e
is the forward or backward slippage of one vertebra over another as in your description of an L5- S1 antero-listhesis. It is a frequent cause of low back pain especially in young athletes who engage in sports involving hyperextension of the spine such as gymnasts. If conservative measures (rest, bracing, nsaids, and physical therapy) are not effective, surgical fusion may be recommended .
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Dr. Atif Haque answered:

What symptoms would you have if an nerve sheath tumor in the L-5 nerve root started to cause nerve damage or compression?

Also

Intestine
Possibly also pain or numbness or even bowel/bladder problems.
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Dr. David Trettin answered:

Follow-up Q: Extra foraminal disc herniation at L4-L5 level.Mild compression of exited L-4 nerve root. Would this need Surgery?

Possibly

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If u are having pain down your thigh or leg, or weakness in the leg and it is not improving then surgery is an option. However,if this is an MRI dx and you have minor pain,you shouldn't require surgery. Even w/ radicular ( down the leg) pain non- operative treatment should be tried first ( LB exercises, NSAIDs , epidural steroid injections )...sometimes if u can " wait it out"... It will go away!
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