Looking down on the involved levels (L5-S1), the top is toward your abdomen (NOON) and the back is toward the back (6 O'clock). I'll describe what happens, referring to times on the clock. Over the years these disks begin to wear out and flatten or possibly bulge out (like squashing a marshmallow). If it is severe enough it is called a 'herniation'. If the herniation occurs at 5 o'clock or 7 o'clock, the herniation can pinch (trap) a nerve as it is preparing to leave the spinal cord and travel down the body, resulting in a severe burning pain and possibly muscle cramps if the nerve travels to the spasming muscle. If the herniation occurs at the NOON, 3 o'clock, or 9 o'clock position, since no nerves are close by, there is no pain (actually, there can be pain, but it is not from nerves being pinched... there are pain fibers in the disk). If the herniation occurs at the 6 o'clock position no nerves will be trapped or pinched because there is a lot of space in the spinal canal where the spinal cord travels. So a disc 'bulge' is just where the disk is squashed out a little toward the left. You can have some pain from that, but no spinal nerve involvement. Oh... the foramen is where area where the spinal nerve runs as it exits the spinal canal..
broad-base dic bulge at l4-5 with extension of dic into the neuroforamen bilaterally.is that bad?i am having numbness in my legs
yes
yes
There's a bulge pushing through the ring holding the vertebral disk between L4 and L5. The bulge is narrowing the opening for the spinal cord somewhat, and is also touching both sides of the nerves coming off the spinal cord at L5.
What the radiology report indicates is that you've got a herniated disk at the L4/5 vertebrae, which is pressing forward into the spinal cord passageway. The foramen is the narrow passage in the vertebrae where the spinal cord runs through.
damage disc
neurol foraminal right narrowing c4-5 mild moderate can it be serious?
what does bilateral facet arthropathy mean
* Loss of lumber lordosis* Loss of normal disc hydration seen at multiple levels * Disc bulge seen at L2 -3 L3-4 L4-5 and L5-s1 levels indenting anterior thecal sac with impingement of the corresponding exit nerve roots at l3-4 l4-5 and l50s1 levels* No spinal canal stenosis seen* Normal vertebral bodises
* Loss of lumber lordosis* Loss of normal disc hydration seen at multiple levels * Disc bulge seen at L2 -3 L3-4 L4-5 and L5-s1 levels indenting anterior thecal sac with impingement of the corresponding exit nerve roots at l3-4 l4-5 and l50s1 levels* No spinal canal stenosis seen* Normal vertebral bodises
With degenerative disc disease, disc bulging occurs with flattening out of the disc and subsequent spreading out. Typical bulging presents symmetrical, but sometimes a protrusion will develop that is eccentric, ie., asymmetrical bulging. An eccentric protrusion will be to one side, in this case left, sometimes causing neurologic symptoms on that side, sometimes not. A protrusion is less than 3 mm, whereas a herniation exceeds 3 mm.
L4-5 small broad-based annular disc bulge refers to a slight protrusion of the disc material between the fourth and fifth lumbar vertebrae in the lower back, which can occur with aging or degeneration. Mild facet arthropathy indicates early signs of arthritis in the facet joints that help stabilize the spine. Together, these findings may cause mild discomfort or stiffness but are often manageable with conservative treatment. It's advisable to consult a healthcare professional for further evaluation and guidance.