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Back Neck and Spine

The pains of the day - work, stress, physical labor, or other irritants - often manifest in the back and neck area. Here you might ask and answer questions about treating back and neck pain, or perhaps identify a particular ailment.

4,618 Questions

What are the symptoms of L5 nerve root effacement of right and left s1 nerve roots?

L5 nerve root effacement can lead to symptoms such as lower back pain, weakness in the leg, and sensory changes like numbness or tingling along the outer aspect of the leg and top of the foot. For S1 nerve root involvement, symptoms may include pain radiating down the back of the leg, weakness in the plantar flexion of the foot, and decreased reflexes in the Achilles tendon. Patients may also experience difficulty with activities like walking on their toes. Overall, these symptoms can vary based on the severity and specific location of the nerve root compression.

What is thecal sac attenuation?

Thecal sac attenuation refers to the degree to which X-rays or other imaging modalities reduce the intensity of signals as they pass through the thecal sac, a protective membrane surrounding the spinal cord and cerebrospinal fluid. It is often assessed in medical imaging, particularly in CT or MRI scans, to evaluate conditions affecting the spine or neural structures. Changes in thecal sac attenuation can indicate the presence of abnormalities, such as tumors, inflammation, or hemorrhage. Understanding this attenuation helps clinicians diagnose and manage spinal pathologies effectively.

Does scoliosis worsen over time?

Yes, scoliosis can worsen over time, especially if it is not monitored or treated early. The progression depends on factors such as age, the severity of the curve, and underlying health conditions. At Hope Abilitation Medical Center, our specialists provide regular assessments and personalized treatment plans to manage scoliosis effectively and prevent further complications.

What region of the spinal cord does the parasympathetic arise from?

The parasympathetic nervous system primarily arises from the craniosacral region of the spinal cord. Specifically, it originates from nuclei in the brainstem (cranial nerves III, VII, IX, and X) and from the sacral spinal cord segments S2 to S4. This region is responsible for the "rest and digest" functions of the body, promoting relaxation and conservation of energy.

What are intercolated disc?

Intercalated discs are specialized structures found in cardiac muscle tissue that connect individual heart muscle cells (cardiomyocytes). They contain gap junctions and desmosomes, which facilitate electrical communication and mechanical adhesion between the cells, allowing for synchronized heart contractions. This unique structure is essential for the heart's ability to function as a cohesive unit, ensuring efficient blood pumping throughout the body.

Can a herniated disc in your neck cause pinky finger numbness?

Yes, a herniated disc in the neck can cause numbness in the pinky finger. This occurs when the herniated disc compresses nearby nerves, particularly the ulnar nerve, which is responsible for sensation in the pinky and part of the ring finger. Symptoms can vary, but numbness, tingling, and weakness in the affected areas are common. If you experience these symptoms, it's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

What is tiny central protrusion in c4-5?

A tiny central protrusion at the C4-5 level refers to a mild bulging of the intervertebral disc in the cervical spine, specifically between the fourth and fifth cervical vertebrae. This protrusion may impinge on nearby spinal structures, potentially causing symptoms such as neck pain, tingling, or weakness in the arms if it affects nerve roots. It is often identified through imaging studies like MRI and may require monitoring or conservative treatment, depending on the severity of symptoms.

What does slapping the back of your neck mean?

Slapping the back of your neck can have various meanings depending on the context. It might be a gesture of frustration or annoyance, often done to signify a moment of realization or to shake off fatigue. In some cultures, it can also be a playful or light-hearted way to express camaraderie among friends. Overall, the meaning can vary widely based on the situation and the relationship between the individuals involved.

What happens if you ignore spinal stenosis?

Ignoring spinal stenosis can lead to worsening symptoms, including chronic pain, numbness, and weakness in the limbs. Over time, it may result in decreased mobility and quality of life, as well as potential complications such as nerve damage or loss of bladder and bowel control. Early intervention is crucial to manage symptoms effectively and prevent further deterioration. If left untreated, the condition can significantly impact daily activities and overall health.

Lower back pain with nausea right above hip area?

Lower back pain with nausea above the hip area can be linked to muscular strain, spinal issues, kidney-related concerns, or even digestive problems. Identifying the root cause is essential for proper evaluation. Consulting a Pain Specialist in Indirapuram can help in assessing whether the pain is musculoskeletal or requires further investigation. At Advance Pain Care Clinic, Dr. Sachin Mittal (Pain Physician) provides expert guidance to patients with such symptoms. If discomfort persists, seeking advice from the best pain Dr in Delhi NCR ensures timely care. Visit a Chronic pain relief clinic in Indirapuram for diagnosis, and always consult a doctor promptly.

What is small bilaterial facet joint?

Small bilateral facet joints are the paired joints located between adjacent vertebrae in the spine, allowing for flexibility and movement while providing stability. Each facet joint is formed by the articulation of the superior articular process of one vertebra and the inferior articular process of the vertebra above it. These joints can be affected by conditions such as arthritis or degenerative disc disease, leading to pain and limited mobility. Their size and orientation can vary, influencing the range of motion in different spinal regions.

What is facet narrowing and sclerosis from L3 L5 s1?

Facet narrowing and sclerosis at the L3, L4, L5, and S1 levels refer to degenerative changes in the facet joints of the lumbar spine. Facet narrowing indicates a reduction in the space within the joint, often due to cartilage wear, while sclerosis refers to increased bone density or hardening around the joint, typically as a response to stress or degeneration. These changes can lead to pain and reduced mobility, often associated with conditions like arthritis or degenerative disc disease. They may also contribute to spinal instability or nerve compression in some cases.

Would a left disc extrusion present itself immediately after an accident?

A left disc extrusion may not present symptoms immediately after an accident, as it can take time for inflammation or nerve compression to develop. Some individuals may experience delayed onset of pain, numbness, or weakness in the affected area. Additionally, the body's immediate stress response can mask pain, leading to a later recognition of symptoms. It's important for anyone involved in an accident to monitor their condition and seek medical evaluation if symptoms arise.

What does mild scoliosis convex mean?

Mild scoliosis convex refers to a slight curvature of the spine where the convexity, or outward curve, is directed to one side. This condition is typically measured in degrees, with mild scoliosis generally being defined as a curvature of 10 to 25 degrees. While it may not cause significant symptoms or require treatment, monitoring is essential to ensure it doesn't progress. The convexity indicates the direction of the curve, which can impact posture and alignment.

What does no central canal or neural foramen stenosis mean?

No central canal stenosis means that the central canal of the spine, which houses the spinal cord, is of normal width and not narrowed, indicating that there is no compression on the spinal cord. Similarly, the absence of neural foramen stenosis signifies that the openings where spinal nerves exit the spine are also of normal size, allowing for unhindered nerve passage. Together, these findings suggest a healthy spinal structure without signs of nerve compression or spinal cord issues.

What does loss of disc signal in cervical MRI?

Loss of disc signal in a cervical MRI typically indicates dehydration or degeneration of the intervertebral discs, which can be a sign of conditions such as disc herniation or degenerative disc disease. This loss of signal reflects changes in the disc's water content and structural integrity, potentially leading to pain, reduced mobility, or nerve compression. Clinicians often assess these findings in conjunction with other imaging and clinical symptoms to determine appropriate treatment options.

Pain in your shoulder only?

Pain confined to the shoulder can arise from several causes such as muscle strain, rotator cuff injury, arthritis, or nerve compression. Sometimes, poor posture or repetitive movements may also lead to Shoulder Pain. If the discomfort persists, it may indicate an underlying condition requiring expert evaluation. At Advance Pain Care Clinic, Dr Sachin Mittal (Pain Physician) carefully assesses such symptoms to identify the root cause. Patients often seek guidance from the best pain Dr in Delhi NCR for accurate diagnosis and targeted therapies. For long-term care, many visit a Chronic pain relief clinic in Indirapuram. Always consult a doctor promptly.

Is radiculopathy l5 mean damage nerve?

Radiculopathy at the L5 level indicates that there is dysfunction or irritation of the L5 nerve root, which can occur due to factors like a herniated disc, spinal stenosis, or injury. This condition can lead to symptoms such as pain, numbness, or weakness radiating down the leg, typically affecting the lower back and the outer part of the leg and foot. While it suggests nerve involvement, it doesn't necessarily mean permanent damage; timely treatment can often alleviate symptoms and restore function.

Does scoliosis result from exaggerated lumbar curve?

Scoliosis is a condition characterized by an abnormal lateral curvature of the spine, typically in the thoracic or lumbar regions. While an exaggerated lumbar curve, known as lordosis, can occur alongside scoliosis, it is not the direct cause of scoliosis. Instead, scoliosis can arise from various factors, including congenital issues, neuromuscular conditions, or idiopathic causes, where the exact origin is unknown. Therefore, while both conditions can coexist, an exaggerated lumbar curve does not result in scoliosis itself.

What does sub-articular disc extrusion mean?

Sub-articular disc extrusion refers to the displacement of the inner material of an intervertebral disc (nucleus pulposus) through a tear in the outer layer (annulus fibrosus), occurring specifically beneath the articular surface of adjacent vertebrae. This condition can lead to nerve compression or irritation, resulting in pain, numbness, or weakness in the affected area. It typically occurs in the lumbar or cervical regions of the spine and may require medical evaluation and treatment.

Can spinal stenosis cause burning in the feet?

Yes, spinal stenosis can cause burning sensations in the feet. This condition involves the narrowing of the spinal canal, which can compress the nerves that travel to the lower extremities. When these nerves are affected, it may result in symptoms such as pain, tingling, or burning sensations in the feet. If experiencing these symptoms, it's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Will amitriptyline reduce back and neck spasms?

Amitriptyline, a tricyclic antidepressant, is sometimes prescribed off-label to help manage chronic pain conditions, including back and neck spasms. It works by altering neurotransmitter levels in the brain, which can help reduce pain perception and muscle tension. While it may be effective for some individuals, the response can vary, and it's essential to consult a healthcare provider for personalized advice and potential side effects.

What is unroofing of l4-l5 disc?

Unroofing of the L4-L5 disc refers to a surgical procedure where a portion of the bony structure above the intervertebral disc at the L4-L5 level is removed to alleviate pressure on the spinal nerves or the spinal cord. This procedure is typically performed when there is significant disc herniation or degeneration causing pain, neurological deficits, or other complications. By removing the bony roof, the surgeon aims to create more space for the affected nerve roots and improve the patient's symptoms.

Are muscle weakness lower back pain and frequent urination early symptoms of a herniated disk?

Muscle weakness, lower back pain, and frequent urination can sometimes signal an underlying spinal issue such as a herniated disk. When the disk presses on nearby nerves, it may cause weakness in the legs, discomfort in the back, and in rare cases, bladder-related symptoms. However, these signs are not exclusive to herniated disks and may indicate other conditions requiring timely evaluation. At Advance Pain Care Clinic, Dr Sachin Mittal (Pain Physician), regarded among the best pain Dr in Delhi NCR, carefully assesses such concerns. The Chronic pain relief clinic in Indirapuram emphasizes accurate diagnosis and tailored care. Consult a doctor.

What does paracentral preforaminal disc protrusion mean?

A paracentral preforaminal disc protrusion refers to a bulging of the intervertebral disc that occurs in the spinal canal, specifically adjacent to the midline (paracentral) and near the foramen where spinal nerves exit the vertebral column. This condition can lead to nerve compression, potentially causing pain, numbness, or weakness in the areas supplied by the affected nerves. It is often identified through imaging studies like MRI and can be associated with degenerative disc disease or injury. Treatment options may include physical therapy, medication, or, in some cases, surgery.