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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here. |
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#1
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Noted on MRI lateral recess and mild formanial stenosis w/osteophytes. Does this mean eventually these areas will be blocked/claudication?
1) If so, can this be "fixed"/osteophytes reamed and stay that way for an ADR or fusion? 2) Finally, if "neural elements" are encroaching upon the L2 ganglion distal to the foramen, does this mean that an ADR or fusion could not take care of this (guessing) pain generator? Thanks, Allan
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
#2
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Allan,
No clue whatsoever on #2 and don't know if your #1 resembles mine, but here's what I was told on my osteophytes and foraminal stenosis: 'Likely' to evolve and cause blockage and nerve problems, but no way of knowing for sure. When I asked about removing the osteophytes prior to my percutaneous nucleotomy, the surgeon told me he'd 'scrape them' so they wouldn't cause any more trouble. This was a failure, although I can't vouch for the seriousness of the attempt as his priority was the soft hernia. Was told afterwards that removing osteophytes wasn't an option outside ADR or fusion, but that they would be completely removed during either of the two procedures and 'theoretically' should not grow back if the job and healing take place correctly. Trace |
#3
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Hi Allan,
the spinal cord goes through a hole in each of the spinal vertebrae. Stenosis is where this hole starts to get smaller and might impinge upon the formena. Unless there's real evidence of this hole getting smaller, I would guess it's not a problem to be addressed at this time. As for osteophytes etc, if they are not a problem quite often it is a good idea to leave them alone. Many an osteophyte has been removed, only some years later to see a bigger and better osteophytes in its place. That is all clinical judgment.
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ADR Munich 26th July 2002 L5/S1. Aged 82 now Your best asset is your health My story is here http://www.adrsupport.org/alastair.html Thank goodness for Dr Zeegers I am painfree I am here to help,I live in the UK I now run the UK spine site and can be contacted at www.adrsupportuk.com/ |
#4
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Thanks folks. I found this post by Justin re: stenosis; didn't know facet degeneration could drive this:
http://adrsupport.org/eve/forums/a/tpc/f/7501036081...411067081#1411067081 I wonder if you take out the canal that encases the nerve, will it flop around and get into trouble? Still hunting for one post that mentions nerve root ganglion and I think a reference to failed back surgery. Hope I'm wrong.. Allan
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
#5
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It'll be more of a hunt re: nerve root ganglion, surgery, is it a gain generator, how treated, etc. I guess it's something that's not removed.
Chirogeek has something - somewhere. http://www.chirogeek.com/
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
#6
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ANS,
Hi - I'm not sure if you remember me from the BPSG MB? Anyway, I'm one of the lucky ones that have experience with the root ganglion. I had a disk fragment from a lateral herniation that was contacting the dorsal root ganglion outside of the L5 neural foramin. surgery in my case to remove the fragment improved condition (leg pain) but some still lingers. the root ganglion is an extremely fragile area and unforgiving. I was told that what pain I have today is most likely permanent and somewhat concur since it's been 2.5 years since my surgery. to respond to your question...I'm not sure if ADR would help or not. Also, what do they mean by "neural elements" from your MRI report. Is this chemical irritation from the disk? |
#7
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Hi Ryan,
I do remember you and even your posts here (it helps to look 'em up). Sorry you're still in pain (hope not too much) and that nerve root ganglion's have been a hobby. Good question re: neural elements. I'll ask my doctor to review my MRI. I doubt it's chemical irritation as my L5-S1 was totally dehydrated/blown. Thanks for your time and be well. - Allan PS Also thanks to the anonymous member who PM'd me an article indicating that the dorsal root ganglion is indeed a pain generator, treated by a formaminotomy.
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
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