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Doctor insights on: What Is Bilateral Facet Hypertrophy

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What is bilateral facet and ligamentous hypertrophy?

What is bilateral facet and ligamentous hypertrophy?

Facet Ligament hyper: The process of degeneration in the back part of the spinal canal. The joint (facet) breaks down and will increase (hypertrophy) in size. This is a normal aging process is most spines. If the enlargement compresses nerves, leg pain may clinically be present. ...Read more

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Dr. Robert Meislin
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Hypertrophy (Definition)

Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more


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What is bilateral facet and ligamentum flavum hypertrophy?

What is bilateral facet and ligamentum flavum hypertrophy?

Degeneration: Hypertropy of the facets and ligamentum flavum refers to the expansion of these structures in the setting of degeneration. These can cause stenosis (narrowing) with compromise of the nerves going to the legs, as well as back pain. ...Read more

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Dr. Robert Meislin
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What should I do about l5-s1 mild bilateral facet arthropathy & hypertrophy?

What should I do about l5-s1 mild bilateral facet arthropathy & hypertrophy?

Interventional Pain: See an interventional pain physician. Radiofrequency lesioning has good results for facet arthropathy. ...Read more

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L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can i do?

L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can i do?

Ouch!: You're young to have this, unless you're prior military or did a lot of weight-bearing. Get to your ideal body weight. Strengthen core muscles with physical therapy/Pilates. Try oral NSAIDs & consider short oral steroid burst. No opioids/narcotics - more a curse than blessing. Try a TENS unit, acupunture, tilt table, hot/cold packs & last resort facet joint steroid injections/blocks. Hang in there ...Read more

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Dr. Robert Meislin
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MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

MRI RESULTS please interpret

Schmorl's nodes
T11-T12, T12-L1.

mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1
Mild Disc protrusion L5-S1

Don't panic: 1) The scan is not the pt; you are. 2) Operative word here is "mild." Those findings may cause no symptoms at all. 3) In medicine and especially in this sort of situation, 1 picture = 1000 words. Your doc ordered the scan for a reason. Look at the images with your doc and have them interpret them for you, or find you someone who can. You have a right to an explanation in terms you understand. ...Read more

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What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read more

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I got an MRI 8yearsago. Finding are ... There is mild hypertrophy of l4-l5 and l5-s1 bilaterally. -impression: mild facet arthropathy same spots..

I got an MRI 8yearsago. Finding are ... There is mild hypertrophy of l4-l5 and l5-s1 bilaterally.     -impression: mild facet arthropathy same spots..

Mild arthritis: Abnormal MRI scans are more the norm, actually. As we age, just like wrinkles of the skin, the disks and joints of the back age and will show signs of arthritis. This does not mean pain. The vast majority of people with abnormal findings, in fact, are asymptomatic. In the absence of pain, really nothing further to do. These findings i would consider fairly normal for age. ...Read more

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Facet (Definition)

Facet joints are places on the spinal bones where two bones actually meet and articulate. Many times arthritis or inflammation can arise ...Read more


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Dr. Robert Meislin
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