Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

What is disc desiccation with loss of disk height and a left

paramedian broad-based osteophyte and disk...
What is disc desiccation with loss of disk height and a left paramedian broad-based osteophyte and disk bulging that protrudes somewhat beyond the confines of the osteophyte? The bulging disk has a maximum AP diameter of 3mm. There is also severe left facet hypertrophy. The combination of the bulging disk and facet hpertrophy appears to impinge on the transiting left nerve root within the spinal canal at this level. There is a moderate left facet effusion and moderate right facet hypertrophy. Therre is contact with the transiting tight root but not circumferential impingement
Show More
Show Less
Ask Your Own Neurology Question
Answered in 8 minutes by:
6/10/2011
RH
RH, Board Certified Neurologist
Category: Neurology
Satisfied Customers: 1,949
Experience: Expert in various areas of Neurology
Verified
Hello!

The interpretation of these findings is as follows:

Disc dessication means drying out of the disc which provides the cushion between the two bones on the spine (vertebral bodies) - when this disc dries out , it collapses on its own and causes loss of the disc height and the disc matter bulges out of its space (imagine eating a peanut butter sandwich and squeezing the two slices of bread together which makes the peanut butter squirt out (peanut butter = disc). This bulging of the disc can compress upon the nerve roots which come out of the spine and innervate the muscles of your legs. Osteophytes are bone spurs which are reactive inflammatory changes of the bone due to arthritic development. Facet hypertrophy is the thickening of the bones at the facet joint (the two joints that keep each vertebral body - bone of the spine in its place). Effusion at these joints is fluid accumulation as our immune system tries to fight the inflammation of the bones (inflammatory response) - all of these changes causes pain, nerve root compression and decrease in mobility and flexibility of the spine.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
Could any of this been caused by an injury?
reactive arthritic changes of the spine can occur post injury.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
At L5-L6 there is disk desiccation with loss of disk height and a left paramedian broad-based osteophyte and disk bulging that protrudes somewhat beyond the confines of the osteophyte. The bulging disk has a maximum AP diameter of 3mm. There is also severe left facet hypertrophy. The combination of the bulging disk and facet hypertrophy appears to impinge on the transiting left nerve root within the spinal canal at this level. There is a moderate left facet effusion and moderate right facet hypertrophy. There is contact with the transiting right root but not circumferential impingement. There is also moderately severe left neural foraminal narrowing with both posterior and inferior contact with the exiting left foraminal root due to facet change and bulging disk, and there is moderate inferior right neural foraminal narrowing secondary to bulging disk and small osteophyte. It contacts the exiting right foraminal root but without circumferential impingement. I hurt myself and wondering if this could of been caused by the lifting of wire overhead, I have been experiencing pain in my back and it radiates at times down to my leg, losing control of ability to urinate with control. Sleep and pain are a constant companion now. What do you suggest I do?
Given your young age and the symptoms you described including urinary problems, I would highly recommend neurosurgical evaluation for either epidural steroid injection and if that doesnt work then for lumbar decompression and fusion.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
At l4-l5, there is disk desiccation with loss of disk height and a grade 1 retrolisthesis of L4 on L5. There is a diffuse posterior disc bulge relating to this measuring 3 mm in maximum AP diameter. There are moderate bilateral facet effusions. There is no evidence of significant mass effect on neural elements. There is mild neural foraminal narrowing. AT L3-L4, there is a grade 1 retrolisthesis of L3 on L4 and disk desiccation with loss of disk height. There is a small diffuse posterior osteophyte and traction disk. The combination of the retrolisthesis and small osteophyte measures an anterior-posterior diameter of 4mm. This indent the ventral thecal sac but there is no evidence of significant mass effect on neural elements. There is mild inferior neural foraminal narrowing bilaterally but no foraminal root impingement.
I would recommend going for surgery given all these findings as these changes will likely get worse with age if not fixed soon.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
I hurt myself and am wondering if there is a surgical procedure to address and correct nerve damage and bulging dis issues, have already had injections with no positive results? what type of surgery would it be going in for and how much downtime can I anticipate?
the surgery would involve dissectomy (shaving of the disc), facetectomy and foraminotomy (decreasing compression on the nerve root), and stabilizing the spine with fusion. Downtime generally for this would be around 4 weeks with physical therapy.
RH
RH, Board Certified Neurologist
Category: Neurology
Satisfied Customers: 1,949
Experience: Expert in various areas of Neurology
Verified
RH and 87 other Neurology Specialists are ready to help you
Ask your own question now
Customer reply replied 6 years ago
Would it be possible for me to fax the imaging report to you and you give me a report on what should be done?
I am a Neurologist and based on the information about your symptoms and MRI report that you have typed here, you seem to be a good surgical candidate. The exact laying out of a plan for surgery of what detailed procedure required is done by a neurosurgeon. So I would recommend taking the MRI films to the neurosurgeon who would be doing this procedure for you.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
Can I submit the MRI report to you via fax to insure all the information I submitted is accurate? There were a few other lines which I did not address and would like to know how to handle this.
Customer reply replied 6 years ago
To insure all the information is available to your professional I have decided to type in all information, unable to fax or scan document. Clinical: This is a patient with low back pain which is chronic and occasional right-sided radiculopathy. Technique:Sagittal 4.5 mm thick turbo spin echo T2 weighted and STIR images are obtained through the lumbosacral spine,as well as T1 weighted spin echo images. Axial turbo spin echo T2 weighted images are obtained with a 5 mm slice thickness from L2-3 through L5-S1, as well as T1 weighted spin echo emages. Findings: There is evidence of a transitional vertebra. For the purposes of this report, the inferior most full sized disk will be termed L5-L6, and the smaller disk below L6-S1. X-ray correlation is strongly recommended. At T11-T12,T12-L1, and L1-L2, there are Schmorl's nodes affecting the endplates. At L1-L2, there is no evidence of other focal abnormality. At L2-L3, there is disk desiccation and a mild grade 1 retrolisthesis of L2 on L3.Minimal 2mm posterior disk bulge is noted with mild mass effect on the ventral thecal sac but no evidence of significant mass effect on neural elements. There is a small left facet effusion. At L3-L4, there is a grade 1 retrolisthesis of L3 on L4 and disk desiccation with loss of disk height.There is a small diffuse posterior osteophyte and traction disk. The combination of the retrolisthesis and small osteophyte measures an anterior-posterior diameter of 4 mm.This indents the ventral thecal sac but there is no evidence of significant mass effect on neural elements.There is mild inferior neural foraminal narrowing bilaterally but no foraminal root impingement. At L4-L5, there is disk desiccation with loss of disk height and a grade 1 retrolisthesis of L4 on L5. There is a diffuse posterior disc bulge relating to this measuring 3 mm in maximum AP diameter. There are moderate bilateral facet effusions. There is no evidence of significant mass effect on neural elements. There is mild neural foraminal narrowing. At L5-L6 there is disk desiccation with loss of disk height and a left paramedian broad-based osteophyte and disk bulging that protrudes somewhat beyond the confines of the osteophyte. The bulging disk has a maximum AP diameter of 3mm. There is also severe left facet hypertrophy. The combination of the bulging disk and facet hypertrophy appears to impinge on the transiting left nerve root within the spinal canal at this level. There is a moderate left facet effusion and moderate right facet hypertrophy. There is contact with the transiting right root but not circumferential impingement. There is also moderately severe left neural foraminal narrowing with both posterior and inferior contact with the exiting left foraminal root due to facet change and bulging disk, and there is moderate inferior right neural foraminal narrowing secondary to bulging disk and small osteophyte. It contacts the exiting right foraminal root but without circumferential impingement.There is also moderately severe left neural foraminal narrowing with both posterior and inferior contact with the exiting left foraminal root due to facet change and bulging disk, and ther is moderate inferior right neural foraminal narrowing secondary to bulging disk and small osteophyte. It contacts the exiting tight foraminal root but without circumferential impingement. At L6-S1, there is no evidence of focal abnormality. The conus is in a normal location and is of normal signal intensity and caliber. I went ahead and typed in the information word for word off of the report could you please elaborate further on suggested treatments or what it is I need to do or expect? Thank you
Due to the amount of time you are investing I will insure to add a tip for this extra work. Due to my injury, I am limited on income right now, rest assured I do appreciate any assistance that can be provided. Thanks again
To add to the previous explanations of the findings, there is also spondylolisthesis - meaning slippage of the one vertebral body over the other causing further instability due to all the arthritic changes mentioned above. Retrolisthesis of L3 on L4 means that the L3 is slipped backwards on L4 and L4 on L5 means the same. This problem leads to misalignment of the spine and increases discomfort and pain in mobility. Given these findings that you have mentioned in addition to the previous report, I am pretty convinced that surgery is your best option. I would recommend seeing a neurosurgeon with your MRI films at the earliest.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
Thank you for the information, now this could of been caused by an injury correct?
Customer reply replied 6 years ago
Hello RH, I hope you are the individual who answered my original question, I have provided a tip and hope you receive it. Thanks for all the help. The question which I asked earlier before submitting all the extensive information above, concerning whether this injury could of been caused by the lifting of an object overhead with a twisting motion and holding up and securing it by the use of a screw gun could of been a result of this injury? Your opinion would be appreciated.
Thank you,
Tom
Hi Tom!

Yes these changes in the spine can be caused due to injury and the wear and tear of motions you described above.
Ask Your Own Neurology Question
Customer reply replied 6 years ago
No additional information needed at this time, but I would like to thank RH for the excellent service he provided. I took his advice and sure enough without even mentioning RH's suggestions the orthopedic doctor I saw followed through with the identical recommendations RH provided. Thank you RH, you helped me to better understand why I have been in so much pain. Understanding this help me to better prepare for what might or might not happen.
Tom
you are most welcome Tom! If you ever need to get in touch with me again, you can just write RH is front of your question so i know to look into the post. All the very best and wish you the best of health!
RH
RH, Board Certified Neurologist
Category: Neurology
Satisfied Customers: 1,949
Experience: Expert in various areas of Neurology
Verified
RH and 87 other Neurology Specialists are ready to help you
Ask your own question now
Ask RH Your Own Question
RH
RH
RH, Board Certified Neurologist
Category: Neurology
Satisfied Customers: 1,949
1,949 Satisfied Customers
Experience: Expert in various areas of Neurology

RH is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
Last Aug 12 I fell down a flight of steps. Was in the
Last Aug 12 I fell down a flight of steps. Was in the hospital for over 2 weeks. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
I have recently started to have a lot of pain throughout
I have recently started to have a lot of pain throughout both legs. It is so bad after laying down or sitting, that I can hardly walk the first few minutes Also, a lot of swelling in my right knee, so… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,294 satisfied customers
I was diagnosed with atypical odontalgia in the gum area of
I was diagnosed with atypical odontalgia in the gum area of my lateral incisor. Ive had a root canal, apicoectomy, and retreatment of the tooth. Am on lots of Noritryptiline and Gralise, and cant eat … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,093 satisfied customers
What is the best medical or physical treatment for Deep Vein
What is the best medical or physical treatment for Deep Vein Thrombosis in the calfs and thighs? It seems to run in my family (mother and older sister)? Deep tissue massage in these areas are very pai… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,931 satisfied customers
I am 39 female with severe lower left side it takes my
I am 39 female with severe lower left side it takes my breath away. I have had a hysterectomy about 5 years ago… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
My wife has ADDHD. She also has Restless Leg Syndrome. Her
My wife has ADDHD. She also has Restless Leg Syndrome. Her doctor had put her on a new medication for the ADDHD when the other wasn't working. This med helped but it caused the RLS to get even worse. … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I just received my results from my brain mri for epilepsy.
Hi I just received my results from my brain mri for epilepsy. The report says, there is a persistent, subtle asymmetric thickening and flair signal intensity involving the left mesial temporal lobe. T… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have a small vascular malformation and I want to know what
I have a small vascular malformation and I want to know what that means … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have been experiencing pain on left side of body for a
I have been experiencing pain on left side of body for a couple years now. Cat scan blood work colonoscopy chiropractor all done. Shows no results. My left hip is also bigger than right one. Also my j… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
My 2 yo headbutted me in the face today resulting in me to
My 2 yo headbutted me in the face today resulting in me to flicking/throwing my own head backwards to try and avoid him hitting me in the nose. A few minutes later I felt a sharp pain in the back of m… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
My husband has weak wobbly legs he is very unsteady when
My husband has weak wobbly legs he is very unsteady when standing and walking he is 75 years of age. This has been going on for a couple of weeks. He has a appointment with the doctor Monday morning i… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My condition is spinal stenocis, severe back pain, been
my condition is spinal stenocis, severe back pain, been using a shot every 3 months, tried just about everything in Grand Rapids, Mich. who would you suggest at the Mayo to see … read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My 93 year old Mom wakes up every morning with a headache.
My 93 year old Mom wakes up every morning with a headache. She has had a Ct scan and a MRI and they were normal for her age. IS THERE ANYTHING I COULD DO TO HELP HER NOT HAVE THESE DAILY HEADACHES … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
Once again I experience some sort of sensory disturbance.
Dear Subbanna,Once again I experience some sort of sensory disturbance. It's like a vague snurring/tingling sensation located under my right foot around the 4th toe and pinky toe. It has persisted for… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Is someone got an air embolism from an IV line (like one
Is someone got an air embolism from an IV line (like one used to administer fluids) how quickly would that go to their brain, cause problems or kill them?… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,299 satisfied customers
I have had trouble sleeping for several years that had been
Hi. I have had trouble sleeping for several years that had been progressing mildly until about a year ago. I can't find anyone here who will listen enough to investigate beyond depression. I literally… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,931 satisfied customers
On Monday, I was hit on the right side of my head with a
Hello. On Monday, I was hit on the right side of my head with a basketball. The player had tried to dunk the ball, it hit the rim and hit me on the side of my head pretty hard. I wear glasses, they di… read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,477 satisfied customers
I'm just reading something I may come back to you in a mo.
Hi I'm just reading something I may come back to you in a mo … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,294 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x