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Pain from a pinched nerve
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Pain from a pinched nerve

An MRI shows a herniated disc at (if I recall correctly) L4-L5 with impingrment of the RIGHT L4 nerve.  I do have what I believe is radicular sciatic pain into the right leg.  It goes into the right buttock, then seems to go away, then reoccurs at the knee, through the calve area, into the top of foot, and great toe.  On the MRI there does not show any impingement of the RIGHT L5.  How could I have paint as described with an L4/L5 herniation and L4 nerve impingment?  Also the pain is worse depending on my back position in comparrision to the leg position.  I also have severely inflammed facets bilaterally L4/L5 and L5/S1 which I had injections for today.  Too soon for results, but I can still feel the sciatica.

As for my cervical MRI, there is a concern with the bulging C6/C7 disc into the thecal sac and by the looks of the MRI right up to the spinal cord.  It is also on the LEFT side and says there may be a mass affect on the neural foraman and possible the LEFT C7 nerve.  What is this?

I have had left shoulder and elbow pain since I fell.  I have had right shoulder pain since I fell, and am developing pain, numbness, tingling through my hand, forearm, and right elbow, but so far NOT into the right bicep.  It is gradually getting worse.  The pain through my right arm is worse when I flex my head forward.

I am also suffering increased depression, irratability, and memory loss.  MRI of the brain was clear.

There are two other minor bulges at C4/C5 and C2/C3.  There are also bone spurs at what I think is C5.

Headaches each day also a big issues.  Start in back, go over the top to the front.

The big question is, is is possible to have sciatic with my right leg and those symptoms with a pinched RIGHT C4 because I thought C5 went to the top of foot and great toe.  Is it normal for the pain to now run the full length of the nerve, such as I do not have right thigh pain.

Same for the right arm.  The Neuroradialogist indicated the pinched nerve was the LEFT C7 (and I do have symptoms there in the shoulder and elbow, but not the right C7.  Yet, I have more issues with the right should, elbow, forearm, and hand.

Could there be leakage from the disc causing irritation of the nerve on the right side??  Any ideas?

Thanks again!
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Avatar f tn
Hello Dear,
The degenerative changes and the bulge cause pressure over the nerve roots causing pain. Spinal stenosis results from progressive narrowing of the central spinal canal and the lateral resesses.
Narrowing of the neural foramina of the spine, mainly cervical and lumbosacral, due to degenerative hypertrophy of the bony cartilaginous structures that delineate their contour.
Osteophytes and uncovertebral or degenerative joint hypertrophy, are the main cause of stenosis .
Bone spurs, or osteophytes, are bony projections that form along joints and cause narrowing or stenosis of the spinal cord.Your cervicaland lumbar spine has degenerative pathology.
You should aim at treating your symptoms.Leaking of the CSF does not seem to be the case.
Treatment options are geared toward pain relief.
Pain medications such as NSAIDs, corticosteroids orally or injected, anti-spasm drugs, anti-convulsants to help with the burning pain, and in some cases, narcotic pain relievers are given.
He should go in for Physical therapy such as hydrotherapy, massage, and hot/cold therapy.
Transcutaneous Electrical Nerve Stimulation (TENS) is a treatment in which a painless electrical current is sent to specific nerves through electrode patches that are placed on the skin. The mild electrical current generates heat that serves to relieve stiffness, improve mobility, and relieve pain
Treatment methods should be focused on pain relief and maintaining quality of life.Although slow, usually these conservative treatments relieve pain.

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