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What Do The Following Scan Reports Suggest?
Question: I would appreciate if you could give me your opinion on my scans and if you could suggest the different routes in relation to nerve blocks.. what is a brachial ples. block..i have a severe tightness in both my arms..was in a road accident lately so have whip lash..the accident was three months ago..do you think this could need surgery.would be grateful if you compare both scans
Brief Answer:
Surgery can be avoided.
Detailed Answer:
Hello,
Thanks for posting your query.
The scans show a disc bulge and nerve root compression at the level of C5-C6. There has been a mild improvement in the may scans as compared to scans done in January.
The brachial plexus block means the nerve compression or block at the level of axilla. This can be due to a soft tissue swelling in the area. Since the nerve impingement is mild there is no immediate need for a surgery. This can improve with regular physiotherapy and cervical traction. In case there is numbness in the fingers with a decrease in muscle strength and there is no improvement in symptoms with conservative treatment then a surgical decompression may help.
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 can be avoided.
Detailed Answer:
Hello,
Thanks for posting your query.
The scans show a disc bulge and nerve root compression at the level of C5-C6. There has been a mild improvement in the may scans as compared to scans done in January.
The brachial plexus block means the nerve compression or block at the level of axilla. This can be due to a soft tissue swelling in the area. Since the nerve impingement is mild there is no immediate need for a surgery. This can improve with regular physiotherapy and cervical traction. In case there is numbness in the fingers with a decrease in muscle strength and there is no improvement in symptoms with conservative treatment then a surgical decompression may help.
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
Many thanks...what did you think of the scan of the neck xray attached
could this clear up..stiffness..
do you think a nerve conduction study would help
what would be your opinion on a nerve block?
I get physio every second week..
would this be called a spinal cord injury?..is the cord alright..
thanks so much..i really want to avoid surgery if at all possible
could this clear up..stiffness..
do you think a nerve conduction study would help
what would be your opinion on a nerve block?
I get physio every second week..
would this be called a spinal cord injury?..is the cord alright..
thanks so much..i really want to avoid surgery if at all possible
Brief Answer:
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
X-ray shows a reduced disk space and osteophytes at C5-C6. The stiffness can decrease with the help of oral muscle relaxants.
A nerve conduction study will help in detecting the nerve damage.
A nerve block can decrease the acute pain but can affect the sensitivity and motor activity.
This is not suggestive of a spinal cord injury. The spinal cord is alright. It is more of a degenerative change related to age.
You can avoid surgery by continuing the physiotherapy.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
X-ray shows a reduced disk space and osteophytes at C5-C6. The stiffness can decrease with the help of oral muscle relaxants.
A nerve conduction study will help in detecting the nerve damage.
A nerve block can decrease the acute pain but can affect the sensitivity and motor activity.
This is not suggestive of a spinal cord injury. The spinal cord is alright. It is more of a degenerative change related to age.
You can avoid surgery by continuing the physiotherapy.
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 for this..
would you recommend a nerve block or epidural
is this spinal stenosis..or is the spinal stenosis been caused by the protrusion
thanks
would you recommend a nerve block or epidural
is this spinal stenosis..or is the spinal stenosis been caused by the protrusion
thanks
Brief Answer:
Epidural can help if there is severe pain.
Detailed Answer:
Hello.
Nerve block or epidural can be helpful if the pain is not getting relieved by the pain killers and exercise. It will not help much to improve the feeling of heaviness or numbness.
The stenosis is caused by the disc protrusion. The spinal canal as such is normal.
Regards.
Epidural can help if there is severe pain.
Detailed Answer:
Hello.
Nerve block or epidural can be helpful if the pain is not getting relieved by the pain killers and exercise. It will not help much to improve the feeling of heaviness or numbness.
The stenosis is caused by the disc protrusion. The spinal canal as such is normal.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you
in your opinion..do you think that given time and also the accident on the 7th March..is there a chance this could go away with time.this is what my surgeon is hoping.. I do still have soft tissue pain
also do you think that surgery would help this condition
also is there a sign of spinal cord compression
thanks..you are very very helpful
I also meant to ask..
is foot pain l4l5 related..of l5s1 related..top of foot which feels like nerve pain..right foot..you have my previous scans from previous discussions..
I find you very helptul
I would like you to stay with this discussion as I have a lumbar scan this week and I would like your opinion on it..
thanks
in your opinion..do you think that given time and also the accident on the 7th March..is there a chance this could go away with time.this is what my surgeon is hoping.. I do still have soft tissue pain
also do you think that surgery would help this condition
also is there a sign of spinal cord compression
thanks..you are very very helpful
I also meant to ask..
is foot pain l4l5 related..of l5s1 related..top of foot which feels like nerve pain..right foot..you have my previous scans from previous discussions..
I find you very helptul
I would like you to stay with this discussion as I have a lumbar scan this week and I would like your opinion on it..
thanks
Brief Answer:
It can improve with regular physiotherapy.
Detailed Answer:
Yes. Given time, the prolapse can improve and surgery can be avoided. Surgery can help in reducing the disc bulge and pressure over the nerve roots but if it is a degenerative change then regular physiotherapy is needed top prevent further deterioration.
Spinal cord is not compressed in your case.
The pain on top of foot is likely to be due to mild disc bulge at L4-L5. This will also improve with lumbar traction and regular physiotherapy.
You can send me the reports of lumbar scan for better evaluation.
Regards.
It can improve with regular physiotherapy.
Detailed Answer:
Yes. Given time, the prolapse can improve and surgery can be avoided. Surgery can help in reducing the disc bulge and pressure over the nerve roots but if it is a degenerative change then regular physiotherapy is needed top prevent further deterioration.
Spinal cord is not compressed in your case.
The pain on top of foot is likely to be due to mild disc bulge at L4-L5. This will also improve with lumbar traction and regular physiotherapy.
You can send me the reports of lumbar scan for better evaluation.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks
I appreciate this
I am forwarding you on two MRI.s..one done today and another taken in January. I would greatful if you could tell me the difference.. and whether you notice any compression
Also I have frequency of urine over the last one month.. could this related to any compression
I appreciate this
I am forwarding you on two MRI.s..one done today and another taken in January. I would greatful if you could tell me the difference.. and whether you notice any compression
Also I have frequency of urine over the last one month.. could this related to any compression
Brief Answer:
Disc bulge is present.
Detailed Answer:
I have seen both the MRI scans. Both the scans show disc bulge at the level of L4-L5 and L5-S1. The disc bulge has slightly increased since January but there is no specific nerve root compression. The frequency of passing urine is not likely to be related to this.
Regards.
Disc bulge is present.
Detailed Answer:
I have seen both the MRI scans. Both the scans show disc bulge at the level of L4-L5 and L5-S1. The disc bulge has slightly increased since January but there is no specific nerve root compression. The frequency of passing urine is not likely to be related to this.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
thanks...do you think that this could need an operation
I am wondering if there is a need for an epidural
is there any sign of arthritis..middle back and sciatica is present quite a lot
do you think the pain at the sole part of the foot right side upper sole is related
thanks..what causes the pain intbetween the legs
I am wondering if there is a need for an epidural
is there any sign of arthritis..middle back and sciatica is present quite a lot
do you think the pain at the sole part of the foot right side upper sole is related
thanks..what causes the pain intbetween the legs
Brief Answer:
Surgery is not immediately needed.
Detailed Answer:
This is a minor disc bulge that can be taken care of with muscle relaxants and regular physiotherapy. Lumbar traction can help if the pain is persistent. Epidural injections can decrease the inflammation and bulge and give relief. Surgery is the last resort if all other treatment measures fail to provide relief.
Arthritic changes are there. Sciatica is due to mild nerve root compression. This can cause pain in the foot and in between the legs that you have. Taking methylcobalamin supplements will help in early improvement.
Regards.
Surgery is not immediately needed.
Detailed Answer:
This is a minor disc bulge that can be taken care of with muscle relaxants and regular physiotherapy. Lumbar traction can help if the pain is persistent. Epidural injections can decrease the inflammation and bulge and give relief. Surgery is the last resort if all other treatment measures fail to provide relief.
Arthritic changes are there. Sciatica is due to mild nerve root compression. This can cause pain in the foot and in between the legs that you have. Taking methylcobalamin supplements will help in early improvement.
Regards.
Above answer was peer-reviewed by :
Dr. Prasad
Was there much change between this scan and the last scan..
Is the disc putting pressure on the bladder at all..
I have a urinary tract infection (urinary frequency).. just wondered if this was the issue
which disc s are affected..
thanks
Is the disc putting pressure on the bladder at all..
I have a urinary tract infection (urinary frequency).. just wondered if this was the issue
which disc s are affected..
thanks
Brief Answer:
Not causing the bladder infection.
Detailed Answer:
The change is a mild one. There is no major change in the scans that have been done recently.
The disc is not putting any pressure on the bladder at all. The urinary frequency is not related to disc bulge. Your L4-L5 and L5-S1 discs have been affected.
Regards.
Not causing the bladder infection.
Detailed Answer:
The change is a mild one. There is no major change in the scans that have been done recently.
The disc is not putting any pressure on the bladder at all. The urinary frequency is not related to disc bulge. Your L4-L5 and L5-S1 discs have been affected.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Not a severe arthritis.
Detailed Answer:
The arthritis is not very severe. There is only a mild foraminal stenosis. No major nerve compression is seen.
Regards.
Not a severe arthritis.
Detailed Answer:
The arthritis is not very severe. There is only a mild foraminal stenosis. No major nerve compression is seen.
Regards.
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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