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

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