Question 1

My MRI report shows diffuse disc bulge at L4-L5 and L5-S1 with foraminal protrusion, annular tears, and nerve compression. The canal is narrowed to 9.4mm at L5-S1. Can this be managed with physiotherapy and exercise, or is surgery necessary? I'm worried about the nerve compression and whether conservative treatment would be enough.

Accepted Answer

It's understandable to be concerned about the nerve compression and whether physiotherapy and exercise are enough for your L4-L5 and L5-S1 disc bulges, especially with the narrowed canal at L5-S1. While physiotherapy is often the first line of treatment, surgical intervention might be necessary depending on the severity of your symptoms and the effectiveness of conservative approaches

Question 2

My dad is 60 and his MRI showed a small T2 FLAIR hyperintense lesion near the right CP angle, around the 8th nerve and root exit zone of the right 5th nerve. The report says it's likely a trigeminal schwannoma. How serious is this? Would he need surgery or radiation treatment?

Accepted Answer

A trigeminal schwannoma, confirmed by MRI showing a T2 FLAIR hyperintense lesion in the CP angle, is generally considered a benign tumor that can often be managed with surgery. The tumor's size and location near the 8th and 5th cranial nerves require careful consideration, but surgical removal is often the primary treatment. Radiation therapy may also be an option in some cases, particularly for larger or unresectable tumors

Question 3

I've been diagnosed with L5 S1 disc herniation and initially couldn't walk but now I can manage around 10 minutes. My neurologist recommended surgery is it safe to go through with it? How many days would I need to stay in the hospital and what's the approximate cost? I'm 25 years old.

Accepted Answer

If your disc is very bad and you are unable to walk or losing muscle power in feet and/or losing control of your pee/poo then you will definitely need surgery. If medicines help control the pain and you are functional then you can avoid surgery and go for conservative methods

My fianc√É¬©e has been diagnosed with Spondylolisthesis Grade 3, and I've been reading about minimally invasive PLIF surgery. Can you explain the pros and cons of this procedure? Also, which hospitals in India are known for performing it best, and what's the approximate cost we should expect?

in person dr consultation requred to check physical examination.

More Neurosurgery Health Queries

My dad is 60 and his MRI showed a small T2 FLAIR hyperintense lesion near the right CP angle, around the 8th nerve and root exit zone of the right 5th nerve. The report says it's likely a trigeminal schwannoma. How serious is this? Would he need surgery or radiation treatment?

I've been diagnosed with L5 S1 disc herniation and initially couldn't walk but now I can manage around 10 minutes. My neurologist recommended surgery is it safe to go through with it? How many days would I need to stay in the hospital and what's the approximate cost? I'm 25 years old.

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