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Doctor insights on: Thecal Sac Impingement Of L4 L5

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MRI disc protrusion impingement of thecal sac L4/5&L5/S1, biopsy vulva-mild chronic inflam. Nerve or skin? Constant stinging vulva area. STDs negative

MRI disc protrusion impingement of thecal sac L4/5&L5/S1, biopsy vulva-mild chronic inflam. Nerve or skin? Constant stinging vulva area. STDs negative

Not enough info: While it may be difficult to say without looking at the images themselves it sounds like you have disc bulges, not an uncommon finding, but no herniation. The most common symptoms of a herniation would be stereotypical pain in the leg, not the vulva area. I am unclear how the vulva skin biopsy plays into this, was this recommended by your doctor? If not done yet I would recommend a gynecologist. ...Read more

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What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

Disc bulge: It means that the disc is somewhat compressing the sac around the spinal canal. In some patients, this may cause neurologic deficit or be completely asymptomatic. ...Read more

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L4-5 herniation compressing thecal sac & L5 root. Pain & neuropathy. Dr. wants 2 do injections. Aren't these temporary? Won't I need surgery anyway?

L4-5 herniation compressing thecal sac & L5 root. Pain & neuropathy. Dr. wants 2 do injections. Aren't these temporary? Won't I need surgery anyway?

See Neurosurgeon: If the symptoms of disc herniation have improved over the initial 3 months post-onset, and are continuing to improve after epidural, then typically no surgery is necessary. Have a neurosurgeon to look at your MRI. ...Read more

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Is it possible to lay football after a disc protrusion at l4/l5 indenting on the interior thecal sac containing both L5 nerve roots at the central cana?

Is it possible to lay football after a disc protrusion at l4/l5 indenting on the interior thecal sac containing both L5 nerve roots at the central cana?

Depends: If you have fully recovered and have strengthened your core back muscles, and have no nerve symptoms, it may be okay. See your spinal specialist about your particular situation. ...Read more

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Desiccation of L4-L5 & L5-S1 discs. Mild diffuse posterior protrusion L4-L5 & L5-S1 discs mildly indenting the thecal sac. What does that mean?? Thnxx

Desiccation of L4-L5 & L5-S1 discs. Mild diffuse posterior protrusion L4-L5 & L5-S1 discs mildly indenting the thecal sac. What does that mean?? Thnxx

Nothing important: Dessication of the discs is an early sign of aging but is not harmful by itself. Mild protrusions are seen commonly and are asymptomatic. In my over 25 years of experience with these findings, they are common and of now importance. Don't worry about them. ...Read more

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Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces Need operation?

Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
Need operation?

Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help. ...Read more

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L4/l5,posterior disk bulge, central disc protrusion indenting thecal sac. Causing bilateral lateral recesses and lower segments bilateral neural foramin?

L4/l5,posterior disk bulge, central disc protrusion indenting thecal sac. Causing bilateral lateral recesses and lower segments bilateral neural foramin?

Report: You need to take the results in combination with the clinical findings. Ask the attending doctor to explain th findings in conjunction with your complaint ...Read more

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My sister had spinal problem. C3,c4 and L4 L5 regions intending thecal sac and inflammation. Now she has severe head shake which doesn't stop and sweats?

My sister had spinal problem. C3,c4 and L4 L5 regions intending thecal sac and inflammation. Now she has severe head shake which doesn't stop and sweats?

Spinal Problem: It is important that she follow up with the neurologist and the neurosurgeon. The shaking in her head could be related to the inflammation in her spine, the sweating is also a neurological problem. I hope she gets better soon. Best wishes ...Read more

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I had an MRI — says L4-L5- Disc buldge with superimposed central disc protusion. Severe spinal canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. A chair broke and I collapsed on back.?

I had an MRI — says L4-L5- Disc buldge with superimposed central disc protusion.  Severe spinal canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. A chair broke and I collapsed on back.?

Pinched nerve: Spinal stenosis is one way to say you have a narrowing or "pinching" of your nerve canal, in your case it is severe. The cause of the pinching is at least in part from a disc protruding into the nerve canal (herniated disc) which could potentially have occurred in the injury on the chair. I would not hesitate to be seen, many good treatment options available. ...Read more

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Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center, in my case is it Cauda Equina Syndrome???

Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center, in my case is it Cauda Equina Syndrome???

Probably not: You are right in saying the protrusion is in the center and pushing back toward the area where the cauda equina is, but cauda equina syndrome is characterized by really severe back pain usually associated with numbness in the legs and bowel and bladder incontinence or retention. It is not subtle, and usually requires severe compression of the canal, which was not mentioned by you. ...Read more

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Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center, in my case is it Cauda Equina Syndrome.?

Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center, in my case is it Cauda Equina Syndrome.?

No: These words don't add up to cauda equina syndrome this reports touching not compression this is likely an asymptomatic incidental finding cauda equina syndrome is not subtle and involves severe pressure if all nerve roots not touching of the sac good luck ...Read more

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Protruding disc l4-5 l5-s1 touching both s1 roots, indents thecal sac, neural narrowing. Will8 hours a day walking, standing, bending making it worse?

Sciatica: It varies from person to person. Most people do fine standing. Some develop symptoms of pain when walking long distances. In some, pain is aggravated by sitiing. The natural course of this problem suggests it may get better with time and could get aggravated by heavy lifting bending or twisting. Physical therapy may be effective if also having spasms with it. ...Read more

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What do you suggest if my MRI says diffuse disc bulge of l4-l5 intervertible disc causing ventral thecal sac indentation. Disc desication of l5-s1,what I do?

What do you suggest if my MRI says diffuse disc bulge of l4-l5 intervertible disc causing ventral thecal sac indentation. Disc desication of l5-s1,what I do?

This is part: Of the spectrum of degenerative disc disease. Whether it might be causing symptoms or not depends in part on how severe the thecal sac indentation is, so you need to speak with your doctor about it. ...Read more

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My MRI says diffuse disc bulge of l4-l5 intervertible disc causing ventral thecal sac indentation. Disc desication of l5-s1. What does this mean? What do I need to do?

My MRI says diffuse disc bulge of l4-l5 intervertible disc causing ventral thecal sac indentation. Disc desication of l5-s1. What does this mean? What do I need to do?

You need to...: You need to ask your doc to go over the images with you & point out & explain the findings. In radiology, words are really no substitute for pictures. But don't waste your & your doctor's time by going in there cold. You owe it to yourself and him/her to do your homework first. Read up on & look at pictures of lumbar spine anatomy & pathology. Request your own copy of the image CD to study at home. ...Read more

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Mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina. Can this cause goosebumps in leg?

Mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina. Can this cause goosebumps in leg?

Back/leg pain: L4/5 spondylosis is arthritis of the low back. The l4/5 level is a very common level where the joints become overgrown (facet hypertrophy) and cause narrowing and nerve impingement. The nerve irritation (sciatica) can cause skin changes but goosebumps is not one of them. ...Read more

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MRI shows l4-5 posterior disc protusion with annular tear indenting the thecal sac and at l5-S1 posterior central disc bulging with annular tear?

MRI shows l4-5 posterior disc protusion with annular tear indenting the thecal sac and at l5-S1 posterior central disc bulging with annular tear?

Disk bulging : Based on the severity of these findings he treatment modalities will be different ... Many folks have some mild degree of disk bulging that can be managed with physical therapy and pain control and special exercises...you may need an orthopedic clinic visit. ...Read more

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My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? ...Read more

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MRI report says — 1. Straightened lumbar spine curvature 2. Posterior central disc protrusion at L4 -L5 level causing indentation of thecal sac ?

MRI report says — 1. Straightened lumbar spine curvature 2. Posterior central disc protrusion at L4 -L5 level causing indentation of thecal sac

?

Herniation and spasm: One way to describe those findings is you have a herniated disc likely associated with spasm. When paraspinal muscles go into spasm, the lumbar spine straightens out somewhat losing its normal contour. I would not hesitate to be seen to discuss treaent options. ...Read more

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L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement. L5-s1 bilateral degenerative facet change?

L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement. L5-s1 bilateral degenerative facet change?

Facet Arthropathy: Could be facet arthropathy/arthritis. There are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you. While arthritis/arthropathy will not change, the pain can be reduced or eliminated. ...Read more

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Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Back surgery: You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. ...Read more

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Experiencing pain and tingling in left leg/foot. MRI shows herniated disc L4 L5 with L5 nerve impingement but EMG was normal. Get a 2nd EMG?

Experiencing pain and tingling in left leg/foot. MRI shows herniated disc L4 L5 with L5 nerve impingement but EMG was normal. Get a 2nd EMG?

Physical therapy: In a case where there are symptoms of nerve impingement, and some tests show it (MRI) and others don't (EMG), this may reflect the positional and postural nature of the way our spinal cord and nerve roots move in our body. Rather than get more testing, consider physical therapy. If several weeks of PT had no benefit, then follow-up in person with a neurologist, physiatrist, or neurosurgeon. ...Read more

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Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?

Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?

Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary. ...Read more

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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