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Doctor insights on: Symptoms Of L4 Nerve Root Compression

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The major focal abnormality is a right posterolateral disc protrusion at l4/5 with some thecal and right L5 nerve root compression. Pls explain?

The major focal abnormality is a right posterolateral disc protrusion at l4/5 with some thecal and right L5 nerve root compression.  Pls explain?

Bulging disc: It says that there is a bulging disc at level of L4-5 in your spine. There is some pressure on the nerve root, which is probably causing your back pain and nerve issues locally to that area. ...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

Dr. Julian Bragg
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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?

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: 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. ...Read more

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Dr. Julian Bragg
Board Certified, Neurology
11 years in practice
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Treating a Pinched Nerve (Checklist)

Exercise and stretch
Once
Get an Xray/MRI if pain lasts more than 4 weeks
Once
See a spine/pain specialist if pain doesn't improve
Once
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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?

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: 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. ...Read more

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Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more

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Treating a Pinched Nerve (Checklist)

Exercise and stretch
Daily
Use NSAIDs for pain relief
Daily
Get an Xray or MRI in 4 weeks if not better
Once
See a spine specialist after 6 weeks
Once
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I have MS and spinal stenosis. Emg shows l5-l4-s1 compression of nerve root. Orthopaedic surgeon won't do the surgery without neurologist ok.?

I have MS and spinal stenosis. Emg shows l5-l4-s1 compression of nerve root. Orthopaedic surgeon won't do the surgery without neurologist ok.?

Cautious : I would guess the surgeon is being cautious to make sure that the neurologist agrees that surgery will help the problem. Stenosis of the spinal canal is different than neuroforaminal stenosis. Emg is usually normal in canal stenosis and is sometimes helpful in neuroforaminal stenosis. Just because you have something wrong on EMG and MRI doesn't mean surgery is the answer. Ask twice, cut once. ...Read more

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Follow-up q: extra foraminal disc herniation at l4-l5 level.Mild compression of exited l-4 nerve root. Would this need surgery?

Follow-up q: extra foraminal disc herniation at l4-l5 level.Mild compression of exited l-4 nerve root. Would this need surgery?

Possibly: 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! ...Read more

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Treating a Pinched Nerve (Checklist)

Don't try home or OTC remedies. See a doctor.
Once
Determine cause, if possible, don't just treat symptoms
Once
Try a range of motion massage
Once
Consider physical therapy
Once

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Dr. Julian Bragg
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11 years in practice
909.0K people helped
Continue
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