Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Severe Bilateral Neural Foraminal Stenosis And Mild Facet Arthropathy In L5-S1

Is this serious: L4-L5: Disc bulging and moderate facet arthropathy with ligamentum flavum hypertrophy causes severe central canal stenosis compressing the thecal sac to a diameter of 6-7 mm. Severe bilateral neural foraminal stenosis. L5-S1: Mild facet arthropathy. Severe bilateral neural foraminal stenosis.
Wed, 29 Nov 2023
Report Abuse
Neurologist, Surgical,  's  Response
Hi,

There are a few options to treat this, which will be based on your exam and pain pattern. I would always start with physical therapy and steroid injections to see if that makes your pain levels manageable. If not, surgery might be recommended. With stenosis and mild to moderate facet disease, I'd probably start with a minimally invasive decompression. If you have instability on imaging, a fusion might be necessary.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Racheal Wolfson, Neurologist, Surgical
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Severe Bilateral Neural Foraminal Stenosis And Mild Facet Arthropathy In L5-S1

Hi, There are a few options to treat this, which will be based on your exam and pain pattern. I would always start with physical therapy and steroid injections to see if that makes your pain levels manageable. If not, surgery might be recommended. With stenosis and mild to moderate facet disease, I d probably start with a minimally invasive decompression. If you have instability on imaging, a fusion might be necessary. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Racheal Wolfson, Neurologist, Surgical