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Is Sacral Nerve Root Compression Possible Due To Disc Bulge At L5-S1?
Question: Would you have a look at all my scans socated on this site.
I need to know if the sacral roots are effected and seem to suffering servere constipation. Give you opinion on surgery for ths conditionl
All the scans shoud be hearothaare magic
I need to know if the sacral roots are effected and seem to suffering servere constipation. Give you opinion on surgery for ths conditionl
All the scans shoud be hearothaare magic
Brief Answer:
Surgery will not help constipation.
Detailed Answer:
Hello,
Thanks for posting your query.
The chances of sacral nerve root compression due to disc bulge at L5-S1 are present. Such compression is usually associated with paresthesia altered sensations in the perineal region and if the compression is severe then causes loss of bladder and bowel control. It is not likely to cause the constipation that you are having.
You can increase the fluid intake and consider taking some laxatives. Surgical decompression is not likely to cause an improvement of constipation.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Surgery will not help constipation.
Detailed Answer:
Hello,
Thanks for posting your query.
The chances of sacral nerve root compression due to disc bulge at L5-S1 are present. Such compression is usually associated with paresthesia altered sensations in the perineal region and if the compression is severe then causes loss of bladder and bowel control. It is not likely to cause the constipation that you are having.
You can increase the fluid intake and consider taking some laxatives. Surgical decompression is not likely to cause an improvement of constipation.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks I have dealt with you before and I found you excellent..i am attaching a report written my a neurosurgeon recently and I would like you review it and give it some thought.. note that the pain I am feeling is pain when straining.
one of my original doctors wants to do a lamintomy on l4l5 as opposed to what another surgeon has suggested...fiind attached report...
also could you advice is neurotan the same drug as lyrica..
Also could you see if the L5S1 nerve root needs to be involved in these surgery's
thanks so much
XXXX
I attached report
one of my original doctors wants to do a lamintomy on l4l5 as opposed to what another surgeon has suggested...fiind attached report...
also could you advice is neurotan the same drug as lyrica..
Also could you see if the L5S1 nerve root needs to be involved in these surgery's
thanks so much
XXXX
I attached report
Brief Answer:
Try the injection first.
Detailed Answer:
Hello.
Thanks for writing again.
The pain that you are feeling can be related to L4-L5 disc protrusion. But it is not sure that laminectomy will relieve you from this symptom. The surgery is a major one and can cause other side effects also.
It is better to take local injections as suggested by your neurosurgeon and see if it helps with the pain. In case the pain is relieved then surgical decompression at L4-L5 can be planned. L5-S1 nerve root need not be involved.
Neurotan is not same as Lyrica. Both re used to treat nerve related pains.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Try the injection first.
Detailed Answer:
Hello.
Thanks for writing again.
The pain that you are feeling can be related to L4-L5 disc protrusion. But it is not sure that laminectomy will relieve you from this symptom. The surgery is a major one and can cause other side effects also.
It is better to take local injections as suggested by your neurosurgeon and see if it helps with the pain. In case the pain is relieved then surgical decompression at L4-L5 can be planned. L5-S1 nerve root need not be involved.
Neurotan is not same as Lyrica. Both re used to treat nerve related pains.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks.. do you see lateral spinal stenosis
lamentomy is the name of the surgery.. did you read the report that Mr. XXXXXXX wrote.. I would appreciate if you read this.. he mentions an implant..
there is no motor weaknesses but there are reflex issues in back or neck..
do you think a decompression surgery would help...
also are my discs at rupered and am what should I look out for in relation to bladder and bowel issues.. is there enough space there at the minute..is surgical decompression a better option
thanks for all your help
lamentomy is the name of the surgery.. did you read the report that Mr. XXXXXXX wrote.. I would appreciate if you read this.. he mentions an implant..
there is no motor weaknesses but there are reflex issues in back or neck..
do you think a decompression surgery would help...
also are my discs at rupered and am what should I look out for in relation to bladder and bowel issues.. is there enough space there at the minute..is surgical decompression a better option
thanks for all your help
Brief Answer:
Laminotomy is better.
Detailed Answer:
Lateral spinal stenosis is mild. I have read the attached report in detail. Placing an implant will help in better recovery after the laminotomy. Just surgical decompression can be associated with relapse. Surgical laminotomy is a better option. The assessment of space for implant can be done by the operating surgeon at the time of surgery.
The rupture of discs is not there.
Regards.
Laminotomy is better.
Detailed Answer:
Lateral spinal stenosis is mild. I have read the attached report in detail. Placing an implant will help in better recovery after the laminotomy. Just surgical decompression can be associated with relapse. Surgical laminotomy is a better option. The assessment of space for implant can be done by the operating surgeon at the time of surgery.
The rupture of discs is not there.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can a surgeon decide to put XXXXXXX implant in before surgery
also my first surgeon decided that he would do a laminotomy on l3 and l4..and l4l5
the cheeks of my buttocks are very sore..is this a concern
(sacral area).. also..i am a bit concerned that if there is there is just neural tension.. could surgery make it worse
one more question..
what is the prognosis for my neck..the tightness is the upper arms can be extremely painful..is it safe to swim..
are all of my discs severely degenerated
thanks so much
also my first surgeon decided that he would do a laminotomy on l3 and l4..and l4l5
the cheeks of my buttocks are very sore..is this a concern
(sacral area).. also..i am a bit concerned that if there is there is just neural tension.. could surgery make it worse
one more question..
what is the prognosis for my neck..the tightness is the upper arms can be extremely painful..is it safe to swim..
are all of my discs severely degenerated
thanks so much
Brief Answer:
Details below.
Detailed Answer:
A surgeon can plan to put an implant but the final decision is taken only at the time of surgery according to the available space and degree of compression. The sore butt cheeks are not worrisome. If it is only due to a neural tension then the symptoms can even worsen after the surgery.
Swimming is a good exercise for you. You can swim even if the discs are degenerated.
Regards.
Details below.
Detailed Answer:
A surgeon can plan to put an implant but the final decision is taken only at the time of surgery according to the available space and degree of compression. The sore butt cheeks are not worrisome. If it is only due to a neural tension then the symptoms can even worsen after the surgery.
Swimming is a good exercise for you. You can swim even if the discs are degenerated.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
oh thank u..do you think that eventually I will need surgery..for the back
the neck.. would a facet injection help ...do you see severe arthritis..my neck stiffens extremely fast if I am not moving it..my surgeon did mention an injection and he also mentioned that it could be operated on.
I hope the L5S1 disc is ok..
meant to ask...what do you mean like the smptoms could even worsen after surgery...do you mean if there is no nerve damage..that there surgery could be worse.. there are also annular tears..
what would your advice be on surgery?
meant to say.. I get extreme pain from straining..is this a worry
I sent you the neck scan before.. do you have it.. at the moment I am experiencing quite a bit of pain down the upper arms..feels like needles..would you recommend an injection
the neck.. would a facet injection help ...do you see severe arthritis..my neck stiffens extremely fast if I am not moving it..my surgeon did mention an injection and he also mentioned that it could be operated on.
I hope the L5S1 disc is ok..
meant to ask...what do you mean like the smptoms could even worsen after surgery...do you mean if there is no nerve damage..that there surgery could be worse.. there are also annular tears..
what would your advice be on surgery?
meant to say.. I get extreme pain from straining..is this a worry
I sent you the neck scan before.. do you have it.. at the moment I am experiencing quite a bit of pain down the upper arms..feels like needles..would you recommend an injection
Brief Answer:
Details below.
Detailed Answer:
Eventually you will need a surgery to relieve all the symptoms. There is just a mild arthritis in the cervical spine. It can improve with injections and regular exercise. Operation is not needed right now.
If there is no major nerve compression then after the surgery due to local tissue swelling the nerve swelling can be worse that may improve after a few weeks.
It is better to try injections first and in case the pain is persistent then do plan for surgery.
I have seen the earlier scans also. The needles sensation is due to nerve irritation. Pregabalin and methylcobalamin supplements will help. Injection can help if pain is persistent.
Regards.
Details below.
Detailed Answer:
Eventually you will need a surgery to relieve all the symptoms. There is just a mild arthritis in the cervical spine. It can improve with injections and regular exercise. Operation is not needed right now.
If there is no major nerve compression then after the surgery due to local tissue swelling the nerve swelling can be worse that may improve after a few weeks.
It is better to try injections first and in case the pain is persistent then do plan for surgery.
I have seen the earlier scans also. The needles sensation is due to nerve irritation. Pregabalin and methylcobalamin supplements will help. Injection can help if pain is persistent.
Regards.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
ah I find your answers extremely good...you are very clear..
What kind of injection do you think would be good for the neck..would you suggest a facet joint injection. Are you saying that eventually I will need surgery for the neck..
When you are talking aout no major nerve compression..are you referring to the back..that if I had surgery.pain could be worse
I get the impression that you are advising to stay away from surgery in both the back and neck until things get really bad...would you advise that surgery would be the last resort..thanks a million
What kind of injection do you think would be good for the neck..would you suggest a facet joint injection. Are you saying that eventually I will need surgery for the neck..
When you are talking aout no major nerve compression..are you referring to the back..that if I had surgery.pain could be worse
I get the impression that you are advising to stay away from surgery in both the back and neck until things get really bad...would you advise that surgery would be the last resort..thanks a million
Brief Answer:
Surgery is the last resort.
Detailed Answer:
Yes. A facet joint injection will help in reducing pain. Surgery can make the pain worse for a few weeks initially. It is better to stay away from it for both neck and back. Try to do regular physiotherapy exercises. Surgery is the last resort and even after the surgery the progressive degenerative changes are not retarded.
Regards.
Surgery is the last resort.
Detailed Answer:
Yes. A facet joint injection will help in reducing pain. Surgery can make the pain worse for a few weeks initially. It is better to stay away from it for both neck and back. Try to do regular physiotherapy exercises. Surgery is the last resort and even after the surgery the progressive degenerative changes are not retarded.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
thanks so much for this advice...you are very good and very honest...this is what my physiother. keeps saying...would it be fair to say that one surgery leads to another....I think that this is it..
so basically if I had a lamentomy .. there is nothing to start another disc from degenerating...or protruding
I had a very bad situation last year where the my right side was very bad and resolved itself over time...do you ever think over time things could improve.
also just a question.. I went swimming Thursday and I woke up very bad impingement in both arms and tbe legs..could this just be from lack of exercise or the disc disease acting up..i get the impression you are really saying that surgery is hit or miss..thanks
so basically if I had a lamentomy .. there is nothing to start another disc from degenerating...or protruding
I had a very bad situation last year where the my right side was very bad and resolved itself over time...do you ever think over time things could improve.
also just a question.. I went swimming Thursday and I woke up very bad impingement in both arms and tbe legs..could this just be from lack of exercise or the disc disease acting up..i get the impression you are really saying that surgery is hit or miss..thanks
Brief Answer:
It is due to muscle stiffness and lack of warming up exercises.
Detailed Answer:
Since your earlier disc problem has resolved, there is every chance that this problem will also resolve with time. Swimming only once will cause a muscle stiffness. It will resolve on its own in next few days with rest and hot compresses. You can take an oral muscle relaxant also if it is bothering you too much.
Regards.
It is due to muscle stiffness and lack of warming up exercises.
Detailed Answer:
Since your earlier disc problem has resolved, there is every chance that this problem will also resolve with time. Swimming only once will cause a muscle stiffness. It will resolve on its own in next few days with rest and hot compresses. You can take an oral muscle relaxant also if it is bothering you too much.
Regards.
Above answer was peer-reviewed by :
Dr. Sonia Raina
do you think that the needle feeling in the arm could go away..
Brief Answer:
Yes.
Detailed Answer:
Yes. Methylcobalamin supplements and medicines like Pregabalin will help.
Yes.
Detailed Answer:
Yes. Methylcobalamin supplements and medicines like Pregabalin will help.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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