Low Back pain NYC-Herniated disc NYC-Sciatica NYC-Back pain NYC

Low Back pain NYC-Herniated disc NYC-Sciatica NYC-Back pain NYC-
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Over the past 14 years of treating patients with Low back pain,Sciatica and herniated discs in our Back pain and NYC Herniated disc treatment facility we have patients come in with MRI's that indicate disc involvement severe enough that if they where to consult with a surgeon they would recommend a back surgery. Some of the patients that come to us over the years have already had one or even two back surgeries.
I have listed below some of the MRI's findings on patients that have responded successfully to our Back pain/leg pain treatment protocols.
Our Protocols involve Spinal decompresion,Cox Flexion distraction, Cold laser therapy, Spine Force three dimensional Rehab,Custom made orthotics, Medical massage and more.

Clinical History: Low Back Pain


Findings: There is a slight scoliosis of the lumbar spine, convexity to the right.

There is no significant bony abnormality noted. There is disc space

narrowing at L3-4 and L4-5. There is probably disc space narrowing

also at L5-S1.


There is slight retrolisthesis of L4 on L5. There is minimal

retrolisthesis of L3 on L4










Findings: At L2/L3, there is a small left foraminal disc herniation and mild

canal and bilateral foraminal stenosis.




At L1/L2, there is mild diffuse bulging of the annulus fibrosis with a

small left paracentral annular tear.




Central disc herniations are noted at T11/T12 and T12/L1, effacing

the ventral thecal sac but without compression of the distal spinal

cord.




Impression: Degeneration of the lumbar discs and facet joins in superimposed

on congenital lumbar stenosis, with the largest disc herniation and

most severe canal stenosis at L4/L5.







Impression: Degenerative changes L3-4 disc space level.




Disc bulge in the midline L3-4 and right paracentral disc herniation

also present at this level.




Congenital central stenosis




Foraminal stenosis L3-4 disc space level.







Impression: Multilevel discongenic degenerative changes, most

pronounced at the L4/5 and L5/S1 levels.





Impression: Multilevel discongenic degenerative disease, most

severe at the L2/L3, L4/L5, and L5/S1 levels.




Moderate central canal stenosis from L2/L3 to L3/L4.




Multilevel moderate to severe neuroforaminal stenosis

without nerve root contact.


Stable postoperative changes from L4/L5 through L5/S1 with stable

soft tissue extending into the far left lateral/ ventral soft tissues at

the level of L4 consistent with postoperative changes.







Findings: At L5-S1, there is a rudimentary disc space and the canal and

neural foramina appear free of compromise at this level. Mild

hypertrophic degenerative changes of the facet joints are seen

at the L2-3 through L4-5 levels.




Intradurally, the conus tip and cauda equina appear intrinsically

within normal limits and there are no intradural abnormalities noted.

There are no fractures and destructive osseous lesions

demonstrated. There are no paravertebral soft tissue masses

noted.




Impression: A transitional vertebral segment at the lumbosacral junction is

referred as a sacralized L5 segment. Given this numbering

assumption, at both the L3-4 and L4-5 levels, there are

degenerative changes of the discs and facet joints, associated with

small, broad based, posterior disc protrusions/herniations, mildly

compromising the lateral recesses at both levels.



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Findings: There is normal alignment. The alignment remains normal in flexion

and extension. In the neutral position there is straightening of the

normal lumbar lordosis




There is a transitional vertebra demonstrated on this study, the

lowest level on axial images being labeled L5-S1.




There is disk desiccation noted at L3-4 and L4-5.




Impression: Muscle spasm.


L3-4 and L4-5 central disk herniations, those two-level herniations,

encroaching on the anterior thecal sac best demonstrated in neutral

and extension views. There is tension spinal stenosis.




Impression: Muscle Spasm


Small focal left-sided disk protrusion at L5-S1 with slight disk

placement of the left S1 nerve root posteriorly.







Impression: Large left posterolateral disk extrusion at L3-4 with superior

migration of the extruded disk almost to the level of the L2-3

interspace. It compresses on the left L3 nerve root within the left

lateral recess.




Status post left L5 hemilaminectomy. Enhancing tissue in the left

lateral epidural space and surrounding the left S1 nerve root is

consistent with epidural granulation tissue. Soft tissue in the left

ventral epidural space representing either granulation tissue or

small left posterolateral disk protrusion without impingement on the

emerging S1 nerve root




Degenerated mildly bulging intervertebral disk with superimposed

small right foraminal disk protrusion at L4-5 possible impinging the

exiting right L4 nerve root.
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Sciatica treatment in NYC,New York City,Manhattan

What You Need to Know About Sciatica from www.Spine-Health.com


By: Stephen H. Hochschuler, MD

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg.

What You Need to Know About Sciatica NYC

The clinical diagnosis of sciatica is referred to as a "radiculopathy", which means simply that a disc has protruded from its normal position in the vertebral column and is putting pressure on the radicular nerve (nerve root) in the lower back, which forms part of the sciatic nerve.


Sciatica Causes

An important thing to understand is that sciatica is a symptom of a problem — of something compressing or irritating the nerve roots that comprise the sciatic nerve — rather than a medical diagnosis or medical disorder in and of itself. This is an important distinction because it is the underlying diagnosis (vs. the symptoms of sciatica) that often needs to be treated in order to relieve sciatic nerve pain.

Sciatica occurs most frequently in people between 30 and 50 years of age. Often a particular event or injury does not cause sciatica, but rather it tends to develop as a result of general wear and tear on the structures of the lower spine.

Sciatica symptoms
For some people, the pain from sciatica can be severe and debilitating. For others, the pain might be infrequent and irritating, but has the potential to get worse.

While sciatica can be very painful, it is rare that permanent nerve damage (tissue damage) will result. Most sciatica pain syndromes result from inflammation and will get better within two weeks to a few months. Also, because the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.

Sciatica symptoms that may constitute a medical emergency include:
Progressive weakness in the leg
Bladder/bowel incontinence or dysfunction.
Common Causes of Sciatica:

Lumbar herniated disc-see spinal decompression nyc,herniated disc treatment nyc

Spinal stenosis

Degenerative disc disease

Spondylolisthesis
Patients with either of the above symptoms may have cauda equina syndrome and should seek immediate medical attention. In general, patients with complicating factors should contact their doctor if sciatica occurs, including people who: have been diagnosed with cancer; take steroid medication; abuse drugs; have unexplained, significant weight loss; or have HIV.

Sciatica medical definition: radiculopathy

To clarify medical terminology, the term sciatica (often misspelled as ciatica, cyatica or siatica) is often used very broadly to describe any form of pain that radiates into the leg. However, this is not technically correct. True sciatica occurs when the sciatic nerve is pinched or irritated and the pain along the sciatic nerve is caused by this nerve (radicular pain) and is called a radiculopathy. When the pain is referred to the leg from a joint problem (called referred pain), using the term sciatica is not technically correct. This type of referred pain (e.g. from arthritis or other joint problems) is quite common.

Sciatica treatment in Manhattan-visit www.drshoshany.comSciatica nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors. Typical sciatica treatment include:

Non-surgical sciatica treatments, which may include one or a combination of medical treatments and alternative (non-medical) treatments, and almost always includes some form of exercise and stretching. The goals of non-surgical sciatica treatment should include both relief of sciatica pain and prevention of future sciatica symptoms.
Sciatica
Sciatica NYC, Non-surgical spinal decompression in Manhattan
The Piriformis is a muscle that often tightens and causes pressure on the Sciatic nerve- The Graston technique is very effective in treating Piriformis syndrome.

The Latest DRX9000™ Study Data Published In Peer-Reviewed Journal

Suffering with Chronic back pain in New York City? Stop suffering- Proven techniques can end the pain.
Herniated disc treatment New York City-NYC www.drshoshany.comThe Latest DRX9000 Study
Data Published In Peer-Reviewed Journal! Manhattan,NYC


A study titled, "Prospective Evaluation of the Efficacy of Spinal Decompression via the DRX9000 for Chronic Low Back Pain" was published in the December issue of The Journal of Medicine. The study authored by Dr. John Leslie, Mayo Clinic, et al, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of 266 weeks of low back pain. At the conclusion of the study, 16 of the 18 patients reported improvement in low back pain, greater than 50%. The authors state, "Patients also reported having better daily activity function as measured by the Oswestry Disability Index." Reprints are available through Axiom Worldwide. To view this article please visit here.
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