Doctor insights on:
Syrinx Spinal Cord Causes Pain Safe Nerve Block Injections
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
Not wise.: Its like using a sledge hammer to crack a soft boiled egg. It is a dangerous procedure that has numerous complications and last for only a few months to a year. No OA is that bad. If spinal OA consider RFA-Radio Frequency Ablation. Its relief also transient but has almost NO complications and is done in 30" at an out patient facility and repeated ad lib. Ask a physiatrist, MD. ...Read more
Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?
C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more
If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?
Interesting Thought: The plan is for the epidural steroid injection that is done posteriorly (called interlaminar/translaminar epidural injection) to reach the anterior epidural space where both the motor and sensory nerves exit out. Below the level of L2, roughly the spinal cord ends and all nerves exiting from the spine have both sensory/motor components. ...Read moreSee 2 more doctor answers
Quite possibly: Spinal cord stimulation (SCS) is used successfully in Neuropathic pain of peripheral nervous system origin. Neuropathic pain is a common healthcare problem with some patients who are refractory to standard treatment guidelines or burdened with the side effects of such treatments. SCS offers a clinical and cost-effective treatment at lower lifetime healthcare cost with better long-term outcomes. ...Read moreSee 4 more doctor answers
Orthopedic: Mri shows right foraminal narrowing (moderate-sev) but notes no central cervical spinal canal stenosis. Any impingement into spinal cord?
Neuropathy : Bilateral peroneal mononeuropathies are commonly seen in patients with mononeuritis multiplex secondary to diabetes, polyarthritis nodosa, nutritional deficiencies, and critical illness polyneuropathy. Bilateral and symmetrical presentation rises the possibility of lumbar radiculopathies or lumbar stenosis. Neuroimaging like MRI and electrophysiological studies like EMG and nerve conduction study could help in sorting this out. ...Read moreSee 2 more doctor answers
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
Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?
It may be that you : Have them all as everyone ages so by 49 as a male, there are degenerative or arthritis changes in the spine termed spondylosis. By age 60, 20% have some narrowing or stenosis of the spinal canal. Disc herniation can lead to it too all resulting in nerve compression which can cause arm/leg symptoms termed a radiculopathy or in leg also known as a sciatica. ...Read moreSee 2 more doctor answers
Disc desiccation, bilateral facet hypertrophy, min. Spondylosis, flatening of thecal sac and bilateral neural foramina at l4-l5. Can it cause goosebumps?
No : No relationship between the described findings and the goosebumps ! ...Read more
Facial Numbness: Causes of numbness in the face the facial nerve, which is cranial nerve vii, controls facial expression with 7 thousand individual nerve fibers to the facial muscles. Many disorders, conditions and diseases can interrupt the function of the nerve fibers and cause numbness. ...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
Thigh pain: My first answer is missed hip arthritis. This causes pain from groin to knee, worse getting up from sitting. Commonly missed by spine surgeons too focused on abnormal MRI and not performing a complete exam. Not intentional, just happens. If fusion has failed, this could also cause pain into groins/thighs. A good exam and studies including x-rays would be helpful. ...Read moreSee 1 more doctor answer
A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc..Nothing helps.Surgeon says not surgical.
What would cause cervical spondylosis, central canal stenosis, disc osteophyte complexes, mild cord impingement, cervical straightening in 43 y/o?
Pinched lumbar nerves. Any negative side effects to long term mechanized traction to relieve pinch nerve?
No, not Realy: As long as mechanical stretch gives you productive hours in your day, it is a good technique. If you forgo stretch of your legs, conditioning and strengthening exercise you will not achieve full recovery. When you know you have bad discs, avoid prolonged sitting, driving, and jarring sports which lead to chronic facet problems (arthritis) in the back. Inversion techniques / yoga mimic traction. ...Read moreSee 2 more doctor answers
Mri :lumbar radiculopathy l4-5, s1, edematous sciatic nerve. Severe leg pain. Epidurals not helping. Do i f?
Surgery: If you have completed a proper work-up and have failed a reasonable period of conservative care ( at least 6-8 weeks ) and you are in significant pain that prevents you from doing your normal activities, then surgery is an option to discuss with your doctor. Check out spine-health.Com. ...Read moreSee 2 more doctor answers
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