Doctor insights on:
Thecal Sac Impingement Of L4 L5
Will this require surgery?Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.
Depends on symptoms: Disc surgery doesn't always provide relief. Xrays of mris of the spine may look terrible, but if you have no major symptoms, surgery is not indicated. If your symptoms are bothersome, but modest in degree, then physican therapy or an exercise program will help and a physiatrist can direct this. ...Read moreSee 1 more doctor answer
Is surgery needed for indentation of the ventral thecal sac and spinal cord at t8-t9? Bcos dorsal central degenerative intervertebral disc protrusion
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
Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
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 moreSee 1 more doctor answer
L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?
Yes, but....: Having another surgery is an option, but you should try conservative treatment like physical therapy first if you are having pain. Every time that you have surgery, you create more scar tissue. Before proceeding with surgery again, you should get a second opinion from another neurosurgeon or orthopedist. ...Read more
What is facet hypertrophy l
Flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?
Pain and weakness: can result from compression of the nerves that exit at the level of the narrowing caused by bony overgrowth of the facets (the area where the vertebral bones meet) In the lumbar region the nerves exit at a higher level and "traverse" the space next to the facets below this before they exit the spinal canal at a lower level. Discuss this with your doctor. ...Read more
C4-5 right uncovertebral osteophyte/disc bulge complex broad disc bulge right neural foraminal stenosis & abutment of ventral cervical cord. Meaning?
Not meaningful: These findings on MRI of c spine are simply indicators of arthritic phenomenon with aging or wear and tear. These may or may not clinically corelate with the clinical symptoms or signs of a patient. Examining and ordering physician is in best position to tell if these findings corelate with your symptoms. See a neurologist. ...Read more
X-ray rprt "loss of lumbar curvature", MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?
Call your doctor: Your doctor who has the complete report and who has examined you can give you more information. You have a herniated disc which may be putting some pressure on the nerve. Your doctor can give you more information and recommendation for treatment. ...Read moreSee 1 more doctor answer
Can cervical broad disc protrusion effacing the thecal sac cause lesions above the protruding disc?
No-A disc protrusion: at one level of the spine will not create problems in adjacent areas. However, it's not at all uncommon to have abnormalities at more than one vertebral level. Aging, arthritis, injuries and other issues can cause multilevel disk abnormalities. Hope this helps! Dr. Anne ...Read more
Lumbosacral spondylosis with disc degeneration, mild posterior disc bulge at l3-4level indenting thecal sac, lateral canals & neural foraminae, treatment?
DDD=arthritis: Arthritis/spondylosis of the disc is ddd. Like wrinkles of skin, ddd happens to everyone to some degree. It starts to be evident on MRI late teens and early 20's, progressing with age. Ddd/arthritis does not = pain. So don't let the diagnosis bother you. Treatment is specific to the pain. If back pain, nonsurgical. Nsaids/tylenol, pt/core strength. For sciatica, above plus nerve root injections. ...Read moreSee 1 more doctor answer
My lower lumbar MRI spine without contrast says on the impression part. 1. Straightening of the normal lumbar lordosis. 2. L5-S1 diffuse disc bulging with endplate osteophytes abutting the dural sac in the central canal and bilateral L5 nerve roots in the
L4/5 marked diffuse disc bulge with bilateral encroachment on both neural exit foramina and spinal canal diameter compromise. solutions without OP?
On cervical mri what does minimal CSF present within thecal sac mean? Narrowing anterior & posterior CSF spaces.
Space is tight: Sounds like this is concerning to you. It means that space is tight around the spinal cord. This usually isn't an emergency. You should discuss this finding with the doctor who ordered the test, who can put those findings into the context of your history and exam and can discuss next steps with you. Good luck! ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Degenerative changes of the lumbar spine with moderately severe narrowing of L4 L5 neural foramina?
Spine degeneration: You may already know this, but degeneration simply refers to aging changes in the spine which occur in all of us - disc narrowing and dessication, spinal joint arthritis, bone spurs, etc. The significance of narrowed foramina (also caused by aging changes) is that nerves can get pinched in the area of narrowing, and pinched nerves can result in leg pain. Talk to your doc about treatment options. ...Read moreSee 1 more doctor answer
Disc desccation with posterior diffuse disc bulge at L5-S1 level mildly indenting the-cal sac and moderately narrowing bilateral neural formina?
Pushing on Things: If these herniated disks are causing pain then getting epidural injections may be helpful. However if you are doing OK and no pain, then I would leave them alone. Eventually they will heal as much as they can, but can take as much as 6-9 months to resolve. Unless you are getting increased pain or weakness, I wouldn't worry. Also start core strengthening exercises when you are feeling better. ...Read moreSee 1 more doctor answer
MRI CERVICALSPINE-At C3-C4level there is mild diffuse disk bulgingindenting the thecal sac without spinal canal -dr suggest surgery?
Be very cautious: The need for surgery is based on symptoms, not just MRI findings. Many people have these findings, and most don't require surgery. If there is no limb weakness or severe numbness, then benefit of surgery is questionable at best. If neck pain is the only issue, surgery could worsen it. 2nd opinion is a good idea, preferably from a salaried surgeon who has no personal incentive to operate. ...Read moreSee 1 more doctor answer
At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?
Mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina.Can this cause goosebumps in leg?
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