How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask IVY MD Your Own Question

IVY MD
IVY MD, Doctor
Category: Medical
Satisfied Customers: 1711
Experience:  USA trained physician in Internal Medicine, Critical Care, Anesthesiology, and Interventional Pain
26532264
Type Your Medical Question Here...
IVY MD is online now
A new question is answered every 9 seconds

What does it mean diffuse posterior disc bulge with superimposed

Resolved Question:

What does it mean: diffuse posterior disc bulge with superimposed tiny posterior central disc protrusion an associated mild to moderate bilateral facet joint degeneration and ligamentum flavum redundancy. mild ventral thecal sac effacement, mild spinal canal narrowing, mild inferior neural foraminal stenosis bilaterlly, L4/L5 small posterior disc buldge with mild to moderate bilateral facet join degeneration and ligamentum falvum redundancy resulting in moderate bilateral neural foraminal stenosis. contact/involvement of the exiting L4 nerve rot bilatterally is not excluded. L5-S1 small diffuse posterior disc bulge with mild bilateral facet joint degeneration, mild right and moderate to severe left neural foraminal stenosis, contact/involvement of the exiting left L5 nerve root in the neural foramen is not entirely exculded.
Submitted: 3 years ago.
Category: Medical
Expert:  IVY MD replied 3 years ago.
The most significant findings on this are the L5S1 Left neural foraminal stenosis, with L5 possible compression of the L5 nerve root, meaning you likely have pain in the left leg going down possibly to the big toe. If this is the case, then this explains your pain due to compression to this nerve. This can be alleviated with steroid injection selectively at this nerve root. If this is not where you are having pain, then some of the other findings on this may explain your pain, but the most significant finding is this nerve root issue.
Customer: replied 3 years ago.

I have Sarcoidosis and have been on and off steriods since 2006. Due to the degenerative disc disease is it advisable to take the steriod injection in the back? The impression of the report state Degenerative changes in the lumbar spine with multilevel disc abnormalities and neural foraminal stenoses L3-L4 mild spinal canal narrowing, L4-L5 contact/involvement of exting L4 nerve root in the neural foramen bilaterally, and as noted L5-S1 same as the L4-L5 but with left L5 nerve root in left neural foramen.

 

 

Expert:  IVY MD replied 3 years ago.
Yes, you should still consider it, as it's a very localized injection of steroid and not nearly as systemic as the oral steroids. This would be a much less invasive measure that would hopefully work, so you can avoid even considering spine surgery. That is, if you don't have loss of bowel or bladder functions or weakness in your lower extremity.
Customer: replied 3 years ago.
I have spina bifida as well. My bladder has always been and issue and thus --I double void as we always attributed it to just being weak. My bowels have begun to cause me issues one week every month. And yes, there has been weakness in my lower extremeties. I just don't want to take steriod shots in my spine as I know they cause further bone deteriotion as I have taken them in my foot and in my knee. I take oral steriods because of my Sarcoidosis/Pulmonary fibrosis. I have bilateral scarring in my lungs.
Expert:  IVY MD replied 3 years ago.
If you are having this weakness and some bowel issues, then I'd really recommend seeing a spine surgeon, either neuro or ortho to at least talk to them about possibly surgery.
IVY MD, Doctor
Category: Medical
Satisfied Customers: 1711
Experience: USA trained physician in Internal Medicine, Critical Care, Anesthesiology, and Interventional Pain
IVY MD and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions