Doctor insights on:
What Is Bilateral Neural Foraminal Compromise
Degenerative endplate change at c3/c4 and c5/c6 levels. No widening of the prevertebral soft tissue space. No significant neural foraminal compromise on right side, left side prominent osteophytes encroach into the neural foramen at the c5/c6 level?
Wear & tear: This report is describing wear and tear type arthritic changes that are common in many people as they age. Have you had previous old injuries or played a heavy contact sport? The osteophytes are bony growths that go along with this type of arthritis. The neural foramen is where the nerves come out of your spine so could explain pain you may get from your neck in the outer aspect of your arm. ...Read more
Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point? Help pl
Surgical risks: It sounds like you have chronic back pain, and that surgery (ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more
What is severe left neural foraminal narrowing at L3-4 secondary to mild broad disc Bulge and Facet Arthropathy Moderate L Neural at L4-5 and more.
L3-4: Sounds like your reading a scan report. Why don't you bring them to the doctor who ordered them so he can explain them and correlate them to your symptoms. You might get a better appreciation of the scan findings if you do this. ...Read more
Please explain. Spinal stenosis and neural foraminal stenosis, inferior cervical spine due to posteriordisc osteophyten complex formation, uncovertebral?
What does Degenerative change, greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?
Foraminal compromise: Implies the 6th cervical nerve root may be compressed (leading to potential muscle weakness in the upper arm and or radicular pain down to the thumb or index finger) Further information is needed (exam findings) to sort out the significance of both this and the central canal stenosis (I would discuss this with your neurologist or neurosurgeon) ...Read more
What is the best treatment for "Stable multilevel degenerative changes resulting in up to moderate bilateral neural foraminal stenosis at L4-5.
L4-5: First you should think if you are having any symptoms because of your back bone stenosis. If you are, then that will need to be dealt with. If you have no symptoms and the back bone sites are stable, then there is nothing to be done at this time. You might check with your orthopod or neurosurgeon regarding back braces for support. ...Read more
Which exercises should be done for bilateral neural foraminal stenosis in l4-l5? Flexion or extension?
Extension worsens: Look into makenzie exercises system.Get a more detailed answer ›
Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?
Mri shows mild inferior bilateral neural foraminal stenosis at l2/3, and l4/5. Pain has been chronic for years. What is the best medication or cure?
Treatment options: There are various options for treatment of chronic back pain. If the pain is truly due to mild neuroforaminal stenosis then an epidural injection mght help. Less invasive strategies like extensive physical therapy, pilates, massage therapy, acupuncture are all options. Be sure to have a good evaluation of the cause of the pain. ...Read more
Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?
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
MRI says C6 & 7 bilateral uncovertebral spondylosis results in moderate to severe bilateral neural foraminal narrowing pain & numness hands sugary?
Radiculopathy: The neural foramen are openings along the sides of the spinal canal where the nerve roots exit the canal. Foraminal narrowing or stenosis (due to degenerative arthritis in your case) narrows the openings and can compress the nerve roots as they pass through. This can cause symptoms related to particular nerve roots (radiculopathy). The C7 root exits at C6-C7, hand numbness can result at this level ...Read more
I had MRI cervical spine w&w/o contrast. Impression says: c6-7 protrusion & spondylosis w/mild left neural foraminal compromise & c5-6. Pls explain?
Cervical Spine MRI: The findings identify degeneration of the discs in the cervical spine causing compression of two hole in your spine (c5-6, c6-7). If you are having left arm pain, this may be the cause. Otherwise the findings are a normal progression of spinal wear and tear of a 56 yo spine. Please review the findings with the physician who ordered the MRI or a surgeon specializing in spinal surgery. ...Read more
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?
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
I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?
Havin to wait 6-8mos to see ortho dr, isgood? I have severe spinal stenosis and moderate to severe bilateral stenosis neural forminal stenosis at c5-c6
Call around: First, call the doctor that you have been referred to and request to be put on their cancellation list in case someone with an earlier appointment cancels. Secondly, that is a particularly long wait for a common problem. You may be able to call other spine surgeons in your area and get an earlier appointment. Check out spine-health. Com and healthgrades. Com to learn more. ...Read more
Spinal Nerve Exit: Narrowing of the space that your spinal nerves exit the spinal canal. See picture. At multiple levels ...Read more
Is it possible for a standard MRI to overlook neural foraminal narrowing but an up-right MRI show it? If pain occurs when upright?
There are upright MRI scanners. I am not aware of a good study stating upright MRI is better than regular MRI for spinal stenosis.
There are anecdotal examples of herniated disc seen only on the upright scan. These scanners are lower resolution than conventional MRI which could cause other findings to be missed. There are only a small number of these scanners in practice in the us. ...Read more
What is the recommendation for someone with severe left neural foraminal narrowing at l4-5 w/ a 4mm left paracentral protusion. Also noted is moderate ight neural foraminal narrowing?
What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root
Pain generator: This could be causing the left sided sciatic symptoms. Usually need to know more and do an exam to make sense of the pictures. ...Read more
What does "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing" indicate?
What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?
What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?
Pinched nerve: Cervical spondylosis is arthritis in the neck. Foraminal stenosis means narrowing of the space where the nerves exit the spinal canal, in this case caused by bone spurs from arthritis. After they leave the neck these nerves form the three major nerves of the arm, controlling feeling and movement. Stenosis can cause pain, weakness, numbness or tingling in the arm or hand. High grade = severe. ...Read more
What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain
Cause for back pain.: It means your main nerves coming from your spine that run through your vertebrae can be suffering of compression because overgrowth of the bony area is squeezing it/them. The pain is caused by the nerve itself that might be irritated by contact with the vertebra. Nerves transmit sensation so pain is triggered this way. F/u with your doctor to create a plan of action for treatment. ...Read more
What is moderate to severe left neural foraminal stenosis due to disc osteophyte left subarticular disc extursion w/ cranial and caudal migration?
Arthritis: :worn joint between bones making canal where nerves leave spinal cord tight (stenosis) and disc in between vertebrae are not where they ought to be. It is in the spinal canal moved above and below where they belong. ...Read more
I have c3-4 deciccation w broad posterior disc bulge (3.4mm) causing effacement of CSF space& moderate neural foraminal narrowing. Will I need fusion?
Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?
The radiologist that read the MRI is simply referring to arthritic spurs that are growing forward into the small space on each side of the spine where the nerves exit.
Keep in mind that this is very common in people with no pain at all. This is only relevant if it correlates with your symptoms and physical exam findings. ...Read more
Report says: Left sided neural foraminal stenosis with nerve root impingement at the L5-S1 level Is there anything I can do to relieve pain until tx.
A few steps: Even at age 82, you could try some stretching exercises, and even some McKenzie back exercises. Hot soaking in hot tub or bath may alleviate some of the discomfort. Some meds will interact with your warfarin. But you might be able to gain relief from simple OTC meds such as Aleve, (naproxen) ibuprofen, and maybe you could be candidate for epidural steroid injection. ...Read more
At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?
Question?: I am unsure what your specific question is. If these are the findings on a MRI/CT, the finding can be associated with cervical radiculopathy. The symptoms include pain in the lower neck, shoulder, arm, thumb and index finger. Treatments can range for medications, physical therapy, epidural injections to surgery. A spinal orthopedic surgeon or neurosurgeon can help decide on the best treatment. ...Read more
Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?
L5-S1, is a focal disc extrusion, mild central canal narrowing and left neural exit foraminal narrowing, with details as above. Is this urgency?
Had injury now multilevel spondylosis degenerative disk disease, bulging disks at t6-t7, t7-t8-t9 with small left neural foraminal herniation at t6-t7
Symptoms?: It's hard to give advice without knowing what's bothering you. The mere presence of spondylolsis may not need any treatment at all. Most likely pt will suffice. ...Read more
What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?
Common finding: Disc bulging or protrusion of the disc does not correlate very well with the presence or absence of back symptoms (based upon MRI studies). Since you do not have evidence of nerve root or spinal cord compression it would suggest that your pain might be arising from lumbar facet osteoarthritis and/or myofascial pain in the lumbar muscle groups. Has an experienced physical therapist evaluated you? ...Read more
What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan
Spinal stenosis: You have arthritis in the mid back (thoracic level 9/10). The joints that connect one level with the next are overgrown and compressing the spinal cord and pinching the nerves as they exit the canal. It is important to see a neurosurgeon for an examination to ensure that there is no neurological problems from this arthritis and to develop a treatment plan for pain relief. ...Read more
Broad based disc osteophyte complex effacing the cal sac at c5-6, c6-7, c7-t1 with mild right and moderate left neural foraminal narrowing at each?
Neurosurgery consult: If you have symptoms of pain or neurological symptoms of numbness or weakness, it may be time to consult with a neurosurgeon to find out about the future need for possible surgery. I always recommend Neurosurgery for the neck. In the meantime, please see your primary care physician for pain treatment if necessary. ...Read more
Discongenic disease at L5-S1 and slight disc desiccation at L4-5. Mod cen can sten. Throut l.spine. Mod deg. Or neural foraminal sten at L4-5 L5-S1.
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