alright, I'm a moron, that wasn't her mri, that was her x-ray, her mri states
in the right laleral recess there is a mild crowding of the left s1 nerve root in the left lateral recess. There appears to be disk material in the right side of the neural foramen with compression on the existing l5 nerve root as well. No listhesis, mild endplate degenerative changes
Impression : Broad based right paracentral disk protrusion and herniation at l5-s1 with significant narrowing on the right-sided lateral recess with probable compression on the right s1 nerve root. There is also a disk herniating into the right neural foramina at l5-s1 with likely compression noted the right l5 nerve root in the neural foramen. Mild broad-based posterior bulge noted at l4-l5
this mean I have to trade her in on a newer model?
8 Mar ’12
NO chiro! No GD chiro!
That is exactly the most common issue there that I referred to earlier. You to get on the web and look up orthopedic surgeons in you area. You are to ask your pcp if he knows a good ortho. You are to go on maine board of medicine website and look up these licensees and see if they have prior disciplinary actions or large malpractice settlements. You are to pick one and you, your wife, will go. bring any MRIs and any x-rays, of course. Be picky. Md says I do mostly knees or shoulders, etc....keep looking.
The ortho will say something like the MRI shows a ruptured disk at blah blah location causing nucleus material to leak out and put pressure on such and such nerve causing radiculopathy. Blah blah sciatica blah blah.
Treatment options: depends on the md. Usual course could be medication course such as prednisolone (Roids baybee!), course of physical therapy, and surgery. Some docs go immediately to surgery cause they been there and done that.
Surgery: 3-4 inch incision over l-5 s-1. Md goes in and removes the disc material from spine alleviating pressure on nerve. Pain meds and physical therapy after. Partial Recovery (assuming she is in her 40-50s) one month. Time to no pain two - three months.
In the mean time, limited lifting. No bending at the waist and throwing hay bails. Naproxen sodium as needed. Correct posture when sitting (dont sit in worn out lazy boy). Decompression sometimes offers some relief.
Do you like apples? How bout them apples. Take two and call me in the morning.
And the monkey presses the button.
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