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Hello, welcome to the site! My name isXXXXX and I will try to assist you with your medical question, and any medical information you seek
I am sorry to hear about these problems
Stenosis is narrowing of a hole or the tunnel that is formed by the backbones
In your neck, you have some stenosis and arthritic changes like bone spurs or ostephytes
In your lower back you also have this narrowing, however the is a herniation of the disc which lies between each vertebra, and it is pressing on one of your nerve roots (L5)
This may lead to pain, numbness and tingling
Usually surgery is indicated when there is severe narrowing causing compression leading to muscle wasting
The initial treatment is physical therapy
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Thank you very much for the prompt reply. What does the "There is abuttent of the existing S1 nerve root", nerve impigment in the lateral recess and flavum hypertopy mean? What are the causes of all of that? The age or some injuries (known and unknown) or both contributed to the state of my spine? Could buldging of the disc be the cause of wear and tear or an injury? Thank you! Izabeal
Abutment of the S1 nerve root means it is being pushed from below by a structure, likely the disc herniation
Flavum hypertrophy is inflammation of a ligament
The cause of all of theses symptoms is osteoarthritis, which is due to wear and tear of the joints from usage and age, it could also be due to minor injuries
The bulging of the disc is due to wear and tear, the disc bulge will not cause wear and tear
Are you saying that none of the above could be caused by being for example in the car accident? Could any of the above, if already existed, be aggrevated in the accident? Are only certain people develop back problems, or eventually everyone will, if it is a wear and tear? Thank you!
A car accident or any trauma could have caused this or made it worse
Some people develop back problems, some people nerver do
There are many contributing factors, but the most important one is, the amount of wear and tear it is subjected to, and trauma will accelerate this process
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Yes I am I am just reading your comment
Thankyou very much Dr. Brims
You're quite welcome
If you have any other questions in the future you may request me and I will be happy to help
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Last question. I am assume, because I am struggling for some 4-5 years with back pain, headaches, neck pain, this could be labeled as a chronic pain which I will have to live for the rest of my life. One day the pain more tolerable then the other day? Would you say that the warm water strenghtening exeercises would be the best for my condition, the least impact on my spine?
Warm water strengthening exercises would be very good, but physical therapy may be the best, XXXXX XXXXX be able to guide you through several different exercises
I have tried the physical therapy but everytime I thought I was getting better I reagrrevated my back and was to square one with shooting pain, unable to walk, sleep,etc. Forgive me but you have missed to answer regarding the chronic pain.Sorry for the spelling errors.
The pain may vary from day to day, some days will be better than others, I would definitely say you have chronic pain though
Thank you again and have a great night!
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