Clinical Series: How to See a Pinched Nerve (Foraminal Stenosis) on MRI

[@treborhi]

would be cool if there was a service that would review MRI's with the patient. Doctor's only devote a few minutes to reviewing the MRI with patients.

[@Theevidencebasedchiropractor]

That's a great idea- the only issue is that the MRI needs to be read with the context of an examination and history to make a good healthcare decision. The imaging on it's own is only part of the equation!

[@robertelliott968]

Yep not surgical it's get the f-out

[@cavangarside6912]

Hi need your help, I in chronic pain in the tharasic are due to an accident I had several years ago, I belive its nerve pain its unbearable, I have had MRI scan and xrays through our NHS but they was unable to find anything, I'm confident they have missed somthing how would I get them scans sent over to you to review in desperate need of help so I can move on with my life just need to know what's going on thanks

[@Deisy1960]

@@cavangarside6912 I'm very sorry you are in so much pain. You can request your MRIs images can be send to another radiologist with whom you have previously arranged for a second reading. You might be the one paying for it, but many times is good to have an extra set of 👀 reading it. You need to find a radiologist that specializes on spine MRI's scans. Good luck.

[@Dazyredfox87]

@@cavangarside6912 are you feeling better?

[@LifeStormCreative]

Finally! An MRI interpretation I can understand. Most videos on youtube expect that you have previously taken a radiology course and they go so fast through the explanation that I have to pause and google words. Thank you for the thorough walk-through. I am trying to understand my cervical spine MRI and while I still don't quite understand the axial view (mostly because we patients don't get the split-screen you do here), this definitely helps me understand what the different things in the axial view are so I am trying to match the axial view with the abnormalities I can make out on the sagittal view.

[@Theevidencebasedchiropractor]

My pleasure- thank you!

[@ktann3476]

currently waiting for an mri on my lumbar spine and my lower legs due to bilateral pain, this was very interesting to watch and learn from! Thank you for this video! :)

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@cameronholowach8505]

This was exactly what I was looking for. Great job

[@Theevidencebasedchiropractor]

Glad I could help!

[@stevenciesiel777]

Great explanation of foraminal stenosis. I have severe left moderate right foraminal stenosis C4 C5. Recently had to take time off from work due to a flare up was treated with epidural steroid injections bilateral and RFA injections plus physical therapy. Physical therapist took a look at the mri and due to the severe narrowing and a 4 mm bulging disc with a ap diameter of 9 mm he said it’s a no go on Cervical adjustments as part of my physical therapy treatment!

[@Theevidencebasedchiropractor]

Thank you!

[@Unknowngamerborivt]

Thank you so much Dr. Fox from Life U, best imaging teacher ever!

[@Theevidencebasedchiropractor]

Right on!

[@leahberg7691]

@@Theevidencebasedchiropractor how to get pinched nerves that are compleyely pinched off unpinched from lumbar also how to get a pinched nerve unpinched lumbar

[@Theevidencebasedchiropractor]

@@leahberg7691 Hello- I recommend following up with a doctor locally for a complete evaluation and treatment plan. Pinched nerves can be taken care in a variety of ways (both surgical and non-surgical)- you'll need your doctor to recommend which is best for you!

[@luciffer420]

Thank you this has helped me understand my MRI and what i'm looking at.

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@robrider838]

This is very good. Great to compare to my own MRI images with a spinal cyst and stenosis.

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@OzzySafa]

1:48 thank you for clarifying a lot of videos out there were confusing me saying that axial view is top down and then telling me right and left are on opposite side. I was struggling to understand that because theoretically looking from “top down” was making me imagine looking from the top of the spine downwards. Many videos state axial view as top down but it should always be explained as “bottom up”

[@Theevidencebasedchiropractor]

My pleasure!

[@robnewland4555]

getting MRI today to find pinched nerve. Thank you so much for this video its extremely helpful.

[@Theevidencebasedchiropractor]

Best of luck!

[@robsta5]

Awesome explanation, so easy to understand, much appreciated .

[@Theevidencebasedchiropractor]

You are welcome!

[@CurtisHartig]

Thank you Dr Fox!!! Best video on explaining the views on the Lumbar MRI. Now I can relate between the radiologist report with the imaging on my disc.

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@hulyaoraloglu5964]

Thank you very much for easy understanding information.

[@Theevidencebasedchiropractor]

You are welcome!

[@stephanieharrington9453]

Thank you for the awesome video! Exactly what I needed to know!😊

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@lindamardula733]

I had surgery last July for “moderate to marked” L5-S1 foraminal stenosis. My 8 week post op MRI showed “marked foraminal stenosis. I’m not sure if my surgeon was sleeping while I was sleeping… we both know bones don’t grow back that quickly! I had EMG/MCV last week now showing bilateral sural and peroneal neuropathy, with chronic neuropathy L2-5. The only diagnosis the neurologist left out is “it sucks being you!”. Tomorrow I get a repeat MRI. I am seeing a new surgeon specializing in failed back syndrome. I can’t stand, sit, walk, or drive without pain. My position of comfort was laying down, now that hurts too, yikes! Come on September, that’s when I finally have my appointment, unless I wake up paralyzed or incontinent, then it’s a trip to the ER. And yes, I have symptoms in so many dermatome distributions! I guess that’s why the last surgeon and his PA blew me off, thought I was insane, no, I’m in pain! I’m a disabled PA, I know when medical staff don’t really listen to patient complaints! Thank God I have a few really good providers so I’ve had my labs drawn to r/o metabolic problems, cardiologist has already done my annual testing so I’m good to go! Good informative video! Nice job making it easy for non-medical people to understand! And thanks, I got to blow off some steam! It’s been a long hard road finding another surgeon to look at me with 3 previous back surgeries.

[@Theevidencebasedchiropractor]

Best of luck getting well- stay positive! Thank you for the feedback and I wish you the best.

[@johnnyrodriguez276]

How are you now? I got diagnosed with mild facet diseases stenosis and 3 herniated discs im 24 7 in pain can't sit or stand well I can but it hurts so much..mild! I can't imagine being moderate im going be moderate someday im trying to see what i can do!

[@DanScottChannel]

@@johnnyrodriguez276 Have you considered the relationship to your bodies ability to heal and diet? A good start would be to stop eating all animal products including dairy. Also, stop eating factory processed oils. Eat only WHOLE plant based foods. Look into the work of Walter Kempner (rice diet) and consider John McDougall's approach to a diet which will allow your body to spontaneously heal and lower inflamation. I'm having severe spinal problems and may need surgery. If so, then eating an extremely clean diet will speed recovery. Even now I see an improvement after 15 weeks of an oil free, whole foods plant based diet.

[@johnnyrodriguez276]

@@DanScottChannel There is no way of healing a Facet Disease mixed in with 3 herniated discs

[@rheabels5533]

I have Mild/moderate canal stenosis at L4-L5. 2. Mild bilateral foraminal stenosis at L5-S1. I am only 37 years old and I’m in constant pain. My provider does not even care of my needs. I am frustrated because no one is listening with my frustration and pain. Everyday.

[@msjfab1966]

This video was very helpful. My cramping in my calf on the left side down to my feet. The feeling in my leg and foot on left side goes numb and tightens up bad. Now I understand why I had to have a MRI

[@Theevidencebasedchiropractor]

My pleasure- thank you for watching!

[@fredkalita3441]

I liked his simple presentation of the lumbar area. Would have liked more info.

[@Theevidencebasedchiropractor]

Thank you!

[@theresagerhart3603]

What would be the treatment To get me out of pain it pinched nerve in neck shows up on the MRI

[@maribelruiz2215]

Thank you for the information, now I understand my symptoms.

[@Theevidencebasedchiropractor]

my pleasure- thank you!

[@annettephipps6790]

Really helpful- Thank you so much 😊

[@Theevidencebasedchiropractor]

Glad it was helpful!

[@janiecakes851]

Wow, you did amazing at explaining this.

[@Theevidencebasedchiropractor]

thank you for tuning in!

[@danb4089]

Thank you. Nicely explained 😊

[@Theevidencebasedchiropractor]

Thank you for tuning in!

[@ernestozambranocastillo9755]

Excellent explanation

[@Theevidencebasedchiropractor]

Thank you very much!

[@jameskendrick6683]

💘 your video help me very much thanks very much for your help

[@Theevidencebasedchiropractor]

You are welcome 😊

[@miahutchinson155]

awesome! thank you for being so thorough! Excellent!!

[@Theevidencebasedchiropractor]

Thank you so much for the feedback!

[@rameshbandekar1557]

Thank you very much Doctor.

[@Theevidencebasedchiropractor]

Any time! Thanks for tuning in and checking out the channel!

[@michellebinion7146]

Would lumbar stenosis cause numbness and a shock feeling in my pelvic area ?

[@Theevidencebasedchiropractor]

It could yes, but I would follow up with a local doctor for a proper evaluation to be sure.

[@powerpowerpower]

thanks for the video. What does it mean if the MRI looking the same but the pain is only in the lower back, not in leg?

[@Theevidencebasedchiropractor]

Disc issues can cause local pain in the area and/or pain that travels.

[@mehranvarnaseri-oo9be]

Excellent .please show some infections in mri

[@Theevidencebasedchiropractor]

thank you for the feedback- i'll see if I have any images with infection.

[@astridjolie4330]

Thank you. What's the difference between spinal radiculopathy or spinal stenosis/foreman stenosis? Please!

[@Theevidencebasedchiropractor]

Radiculopathy is describing the symptoms (numbness, tingling, pain) that occur as a result of stenosis (pinching of the nerve). :)

[@bmp713]

Can you actually see the nerves themselves and measure how inflamed they might be? Versus just guessing by how much space there is in the foramina or spinal canal.

[@Theevidencebasedchiropractor]

Great questions; yes, you can see the nerves and measure the canal size.

[@tsuperfly100]

I have severe neck pain and pain in my trapezoid I was told many years ago I have two mild pinch nerve in my neck and I believe it has gotten a lot worst since then could this be causing stabbing head pains that comes and goes for few seconds? Very curious.

[@Theevidencebasedchiropractor]

Impossible to provide any diagnosis without a complete evaluation; but in general, yes a compressed nerve in the lower neck can create trap pain.

[@robnation2475]

5:15 Thanks! My issue with C4-5 and C3-4

[@sundaytidwell3567]

Very helpful! Thank you.

[@Theevidencebasedchiropractor]

My pleasure- thank you for watching!

[@jimbosammy4255]

What significance does it hold when the radiologist uses the word 'severe' in front of foraminal stenosis? Would the example in your video be classified as severe?

[@Theevidencebasedchiropractor]

Severe is a bit subjective- but in general, there are mild, moderate, and severe. So severe would indicate the greatest amount of compression.

[@alfredobizardi5491]

H3llo Dr. I love this video since I also suffer from a pinched nerve And trying to seek help. U explain everything so pe4fect, but I still am not understanding the view on the right

[@Theevidencebasedchiropractor]

Hello and thank you. The view on the right is the axial view. It's a slice across your body. Since, its looking "up" the left and right side of the image are reversed.

[@alfredobizardi5491]

Thank U so much Dr. For responding. I've been suffering from back pains for years, but recently it got so back that it takes me about an hour to be able to straighten my body up in the mornings. I went to the Dr. She prescribed Prednisone and refered me to a specialist. When I saw the specialist they had an X Ray done. He td me that I have a spinal bone out of place. So he had me do an MRI. I have an appointment with him on the 23 rd. Hopefully It will not be so serious because I've known of simple operations and more severe. I would love for U to continue communication with me while I go through this process of my life since your knowledge and wisdom alone brings me much relief. Thank U so much. May God always be with U

[@Beholderoffate]

What if your T12 is pushing 3mm on your spinal cord? I was in a semi truck accident and my neurologist wants to say my back pain is from a possible auto immune disease that I didn't have before the accident and currently going to be tested for.

[@Theevidencebasedchiropractor]

Can't speak to your specific case, but quite often, a 3mm lesion in the canal may be occluding it by up to 30%

[@PraxedesIbano]

I am diagnosed w/foraminal stenosis,what is the best remedy to ease my left lower back down to my leg pain doc?

[@Theevidencebasedchiropractor]

While I can't provide advice for your specific case without a full evaluation- in general, movement-based care is the best first-line treatment for stenosis without red flags.

[@Name-po6vm]

Thank you so much for your easy to understand info. I have a question. I was rear ended in a car accident in October 2020 and ever since then I feel weakness in my legs. I was pricked with a needle by my doctor in my lower leg and I didn’t even feel it. I’ve been falling a lot so I am having an MRI done on aug 16th because it feels like things are just getting worse now. Is there anyway to know if it was caused by the accident? That might sound like a dumb question. I’ve always had some back issues. I have scoliosis. I feel like I can’t even live a normal life since the accident because my legs are so weak. My neck was also injured but is finally not hurting constantly. I can’t pick up my granddaughter and carry her anymore though it causes me too much and neck and upper back pain. I did one session of chiropractice. A week later I woke up and my lower back on the lower left side hurt so bad that I could barely walk and I was in agonizing pain. After a couple weeks it felt better, then a few days later I woke up and the pain was back but it was in the middle of my lower back. I just can’t keep living a life where I do barely anything. Before the accident I was more active. I took care of my three grandkids which was really hard by the way lol. That was mentally hard. My back issues are physically and mentally draining. I just want to feel better.

[@Addiewag72499]

Is it possible to have severe bilateral neural foraminal narrowing in the TSpine? Specifically T3-T4. I see a ton of information on Cervical and lumbar in regards to bilateral neural foraminal narrowing but not Thoracic 😢 Ps I love how you explain things in layman's terms and with such an upbeat attitude!

[@dalebenton3354]

I never have no idea how I damaged my spine disks,Night before,I was ok,When I woke up next morning to get out of bed,Must of had one terrible nightmare,Glad Im getting about lot better now,4 years ago,I could not even hardly walk,I had to use walking sticks or had to use my bike to lean on as im walking,Got me a little bit worried after a few days ago,When i started getting shooting pain in my lower back,Thinking omg,Hope I getting back to how I was when I first had spine problem

[@frankcapobianco755]

I was having pain in my lower left back area and the MRI revealed severe left foraminal stenosis at L5, I thought I might be eligible for arthroscopic surgery to clear some space but was informed yesterday that the "closure" is due to anterolisthesis, 7mm. So it seems like short of fusion, there is not a lot I can do. The pain occurs when walking mainly, standing as well. Sitting relieves the pain. I recently would feel pins and needles in the bottom of my left foot, but only a couple of times. I am really dejected over the news that I might be stuck with this. I exercise regularly without pain.

[@Theevidencebasedchiropractor]

Hope you are able to find relief!

[@DanScottChannel]

How much better is an MRI with contrast vs without? Unfortunately, I can't use contrast due to a kidney transplant.

[@Theevidencebasedchiropractor]

Contrast doesn't necessarily make it "better" it just depends on what they are looking to evaluate.

[@DanScottChannel]

Great and thanks for the reply!

[@cyndimarie9394]

Ive had neck pain caused from an old injury. Just had a new MRI and it says my C2-C6 are dehydrated, straightening of the neck curve and a 2.3 mm disc bulge. Ive been waking up every morning with my hand or both hands (depending on how I sleep) on freaking fire!! Can you tell me what disc dehydration means? I'm getting tired of doctors not taking me seriously. I have almost constant neck pain and creptis. I was also just diagnosed with L4/L5 disc herniation and foraminal stensis. It states my disc herniation is 2.5 × 6.9....can you also please explain that size bulge as i cannot finfd any information on the ×6.9 part! Tganks for the very informative video!!

[@Theevidencebasedchiropractor]

Thank you- I hope you are able to find relief. This is not medical advice- however, in general, a dehydrated disc is a common way to describe a degenerative disc.

[@ianmacg4771]

I have a pinched nerve at around T8 and have pain in my right side in my lower right ribs. Can this be remedied?

[@Theevidencebasedchiropractor]

I cant provide information on your specific case, but in general, an overwhelming number of people who have nerve compression issues are able to find relief. I recommend reaching out to a local doctor for a full evaluation and to determine the best course of treatment for you.

[@emmazooto7114]

Thanks for your educative video . What is the solution to resolve such a pinched nerve like you showed?

[@Theevidencebasedchiropractor]

Best options (in the absence of red flags) are to typically start with conservative care such as chiropractic, physical therapy, etc. These types of care can reduce the inflammation and allow better motion. The "success" rate, in terms of reducing pain, is quite high!

[@emmazooto7114]

@@Theevidencebasedchiropractor Thanks very much

[@Theevidencebasedchiropractor]

@@emmazooto7114 you're welcome!

[@HoneyCombCottageBeeOfficial]

Did this person have surgery?

[@ResonantFreq528]

Could this cause hip flexor and dorsi flexion weakness? L1-L2: Mild disc bulge eccentric to the left. Mild degenerative facet change. Mild narrowing. Mild inferior foraminal narrowing on the left. L2-3: Mild broad disc bulge. Central radial tear. Mild central canal narrowing and lateral recess narrowing. Mild inferior foraminal narrowing. Mild degenerative facet change.

[@Theevidencebasedchiropractor]

Hello, while I can't comment on your specific case, nerve compression can cause muscle weakness.

[@Sylvaniaohio]

What if you have pain lower neck that is sharp but no pain traveling down arms but you've been fused from 3 to 7 have tingles on hands and feet?

[@Theevidencebasedchiropractor]

Can't speak to your case- but pain in the extremities can come from ongoing compression without the radiculopathy (traveling).

[@dlg5485]

I have quite severe stenosis at l3/l4, l4/l5 and l5/s1. It is causing pain/numbness all the way down both legs exactly as you described. What is the most effective treatment, besides surgery? I am currently in PT and it is barely helping at all. Steroid injections will probably be my next option. Are injections really helpful or just a band-aid? I really want to avoid surgery.

[@Theevidencebasedchiropractor]

Hello, I can't comment specifically on your case. However, in general, research indicates that steroid injections can reduce acute pain short-term, but provide no "healing'. Additionally, they have the potential to deteriorate the joint over time. I'd recommend visiting a local doctor who can help with your specific circumstances!

[@lisaanderson3549]

Just got my MRI results - severe foraminal stenosis on both sides of the C6-C7 and one side of c6. Pain down right arm and tingling in right hand. Little finger on left hand is completely numb. Will PT and injections fix this?

[@Theevidencebasedchiropractor]

Hello Lisa, I can't provide direct medical advice, but I can let you know what the research says. Typically, movement-based care such as PT or Chiropractic is recommended before injections and is very successful at reducing the symptoms associated with foraminal compression. However, there may be cases when injections are recommended before PT/Chiropractic, although most guidelines are lowering their support for injections due to a lack of long term benefit. I would consult your local doctor to find a plan to help guide you to relief!

[@zarinaalarice]

Can lumbar stenosis and cervical stenosis cause symptoms like vertigo? I've been dizzy for the past 3 months and doctors rulled out BPPV. MRI of head came out fine. I have a MRI scheduled tomorrow for the spine. I have lower back and upper neck pain. Anytime I lie on my stomach or twist I get dizzy. Neurologist said I can't get dizzy from pinched nerves....? Curious of your thoughts.

[@Theevidencebasedchiropractor]

Very rarely would stenosis cause vertigo; but stenosis can cause imbalance and altered gait. Be sure to review your spine images with your local treating doctor!

[@Paratesti]

How should the pain be managed? Until surgery can be done?

[@Theevidencebasedchiropractor]

Many people manage with movement-based care (chiropractic, physical therapy) prior to surgery. (not specific medical advice)

[@Paratesti]

@@Theevidencebasedchiropractor yea right sure

[@AntonioDiaz]

Why does my doctor say that he can’t operate on a disc bulge? Doesn’t make sense. I have crazy leg pain on both legs that he confirms is coming from my disc bugle but he can’t help me? :( 😢

[@Theevidencebasedchiropractor]

Good question- unfortunately, only your surgeon will answer that one. Wish you the best.

[@AntonioDiaz]

@@Theevidencebasedchiropractor appreciate you answering thanks so much! 🙏

[@jenniferlee9029]

Sir i have left neural foramen narrowed by uncovertebral joint hypertrophy.i have been having neck pain and stiffness for weeks. Could this be the reason? Please help.

[@Theevidencebasedchiropractor]

While I can't speak to your specific condition and situation, in general, foraminal narrowing can lead to pain and stiffness.

[@sionnachog894]

Thank you, very helpful! My surgeon explained it to me with a crayon and a sheet of A4 paper > His consultation fee was €230!

[@Claudia-zu9wu]

I had a lumbar MRI and I have severe Foraminal Stenosis in L3 L4 L5 and S1 and severe pain down back side and right side of right leg thigh and calf and foot. Any suggestions for how to get rid of this pain ? It's taking over my life, it's aweful! Hurts sooo bad.

[@Theevidencebasedchiropractor]

I'd recommend visiting a local doctor for a complete movement-based examination to determine the best plan of action!

[@karenfindlay9593]

I scheduled to have a MRI on my lower back. I am quite nervous and wonder if your whole body is in the scanner for this.

[@Theevidencebasedchiropractor]

Hi Karen- hope your MRI went well. There are both open and closed MRI's- so it depends on the machine.

[@Weiyang5268]

👌04:02 在[椎盤水平高度的橫切片上] (右圖), 將游標線[移往切在小面關節位置上] (右圖), 則可在(左圖) Parasaggital的切圖上同時找出縱切裡[諸spinal nerves位在IVF中的樣貌] 。 07:14 在左圖矢狀旁Parasaggita切面(能顯現IVF的切面)去觀察哪一節有神經夾擠冏迫, 再把游標移至該節, 在該節橫切面Axial view進一步審視橫切面中, 在IVF位置的神經夾擠樣貌。 意即, 閱MRI片時, 不僅在midsaggital view檢視, 也要在(切在小面關節或切在IVF的位置的) parasaggital view畫面找神經被壓的畫面。然後再滑移游標選擇到該節再檢查該節的橫切面。

[@andrewdavis5606]

If an MRI is ordered for back pain to ascertain information regarding bulging discs/pinched nerves and other spinal issues why are they performed laying down usually with a pillow under your knees? Most people’s pain is alleviated in this position so why are they not performed standing bearing weight which you would think gives more accurate details of what is going on.....

[@Theevidencebasedchiropractor]

That is a GREAT question- thankfully, I do see more upright MRI's being brought to market- which makes a lot more sense for the reasons you listed!

[@KeePrud]

I’ve been diagnosed with bilateral foraminal stenosis us fatigue normal?

[@Theevidencebasedchiropractor]

In general, stenosis can cause pain, numbness, tingling and can contribute to fatigue. I'd recommend seeing a local healthcare provider who can evaluate and provide a proper treatment plan!

[@TheIrreversable]

I've had a pinched nerve for over 12 years and Noone has been able to tell me what is going on. Can you please help me and take a look at my mri?

[@Theevidencebasedchiropractor]

thank you so much for reaching out. unfortunately, I don't perform telehealth/mobile MRI reads. If you are not getting answers from your local doctor I would reach out to a local Radiologist to get a second opinion on the images. Hope you are able to find relief!

[@dalebenton3354]

Ive had a Pinched Nerve for the last 4 years now since the day I got out of bed wondering why I was in so much nasty pain I could not handle,then I collapsed on the bedroom floor,with all my effort and strengh to get up of the floor,After about half an hour,I got to my frontroom,carefully sat down,wondering what the f is going on,The pain was in my left hip,few weeks later went to the Hospital to have my x rays done onboth of my hips,They both where ok,Then I went to physiotherapy another few weeks later after went to the Doctors,They done tests on me,saying ive slipped a few disks in my spine,causing pain to go to my hip,Then went to the Hospital to have an MRI scan done,few weeks later went back to the Doctors,He said I got two bulging discs in my lower part of my back,Been 4 years later now,Still getting Pinched Nerve,Always effecting my left toe on and off,Few days ago,I started getting shooting pain my lower back again

[@juancarlosanguianoherrera660]

Than You so much for this video. I have a question, Foraminal stenosis could cause cauda equina syndrome? Or be affecting the nerves that inervate the bladder and digestive functions? Thanks again.

[@Theevidencebasedchiropractor]

In general, cauda equina is seen as a result of spinal cord stenosis. Also, should be taken as a medical emergency that gets evaluated asap.

[@chipstone2010]

In a situation like that… with the forminal stenosis and the encroachment on the descending nerve roots by the disk, is that a situation where decompression would be expected to benefit? Or would it be more likely a surgical outcome that would address the issue? Or other treatment options?

[@Theevidencebasedchiropractor]

Over 90% of people with foraminal stenosis can find relief without surgical intervention. Traction, non-surgical decompression, physical therapy, and chiropractic care have all been shown to be effective!

[@earlkeith4135]

Contrast make a Difference???

[@Theevidencebasedchiropractor]

Depends on what you're looking for- contrast is rarely needed unless the doctor is looking for specific pathology.

[@coryhollywood6021]

Incredibly video and information. I have a pinched nerve in my left arm and it’s driving me crazy. Almost all throughout the day it hits me. I’ve had two MRIs done arm and shoulder which to my surprise came back negative so i had another done on my neck and back and there was something. Unfortunately my doctor are telling me different things even today i got another theory. The last few months it’s now affected my right arm now which freaked me out. Any advice please would be helpful like you don’t know. Thank you

[@Theevidencebasedchiropractor]

Sorry to hear about your struggles. Impossible for me to offer specifics without reviewing your imaging and having a complete examination performed. I would keep pressing your doctors for answers!

[@coryhollywood6021]

@@Theevidencebasedchiropractor thank you so much. I really appreciate your response.

[@deborahrosefistner6421]

Can it help me to see a chiropractor for pinched nerves that are causing pounding throbbing pain that extends down to my coccyx bone? I'm in a lot of pain and I had two injections and it made it worse! I have an inversion table but I heard that if you have osteoporosis that you should not use an inversion table, is that something that you know to be true? Thank you

[@Theevidencebasedchiropractor]

It may- I'd recommend visiting someone local and getting a full evaluation to determine the best course of action!

[@rico66hharvey88]

Hi ...great video, I have bilateral severe intervertebral foraminal stenosis c5-c6 to c6-c7 Any chance it getting better in the future or I am looking at it only ever getting worse...had MRI scan and that's it doctor's and hospital aren't saying much apart from take pain killers 😔

[@Theevidencebasedchiropractor]

I can't speak to your specific case (this is not medical advice). In general, the pain/dysfunction associated with stenosis can increase or decrease throughout time depending on the tissue causing the narrowing. For example, stenosis caused by a disc herniation may eventually disappear is the disc reabsorbs. It's important to have a doctors advice who can provide a thorough examination and evaluation to determine the best course of care and potential outcomes.

[@rahulkaushik8769]

Thanks a lot

[@Theevidencebasedchiropractor]

you're welcome- thanks for tuning in!

[@ekitt7629]

I was diagnosed with Spondylolisthesis 2 months ago. Started with leg/foot tingling in both sides. Burning as well. Glutes and thighs tender at times. They tell me the L5 is compressing the nerves. Not sure if surgery would provide relief. These doctors do not really want to spend much time with anyone. It’s like “on to the next patient, get out” every time I go.

[@Theevidencebasedchiropractor]

Hope you can find relief soon!

[@candyyoung4401]

I went and got a MRI done and waiting for the results. My question is , I have most of my pain while relaxing or laying down. If there pressure on the shoulder bone I have alot of pain . Is this due to a pnched nerve ?

[@Theevidencebasedchiropractor]

Hello Candy, its very difficult to say based on just that information. I would recommend having a full review of the imaging and a complete evaluation. Best of luck finding relief.

[@colleenpellant1484]

I was diagnosed with foot drop in 2020. I'm completely numb on my entire right leg and foot. I believe I need decompression surgery to get feeling back.

[@brianmcconnell4966]

I've had an MRI on my neck and was told I have a few bones spurs, and C6-C7 I have severe foraminal stenosis. I've had a Nerve test that showed multi layer pinched nerves in cervical and lumbar spine. Neurosurgeon said surgery isn't necessary on neck. Had an MRI on Lumbar spine and waiting for those results. I have a lot of pain in my neck and low back, but only symptoms are numbness and tingling in my hands and feet. Any suggestions as to what's causing this?

[@jeffreynunez175]

I have the exact same symptoms waiting on a MRI this week xray showed cervical disk are loosing space in between. Anxious and waiting!!

[@Theevidencebasedchiropractor]

Hi Brian- impossible for me to give medical/health advice online- but typically foraminal stenosis is caused by either disc, bone, or ligament pressing on the nerves as they exit the spine.

[@Theevidencebasedchiropractor]

Hope your MRI turns out well Jeff. Also remember that MRI's are good tools; but every finding on an MRI does not mean that it's causing pain. Best to follow up with your doc after the results are in and determine a plan of action.

[@johnnyrodriguez276]

@@Theevidencebasedchiropractor This is what it says on my MRI mild spinal stenosis foraminal stenosis..2 lower back mild facet diseases and 3 2.5 mm herniated not buldged discs i can't live anymore always in constant pain at work only PT work i have done spinal decompressions they said it's chronic pain and i will live with it forever and that i should be coming back every month 2k per month which is insane and don't even make that kind of money because it's really debilitating do I need surgery or what do i need? please help

[@anandpurkar5414]

I am facing an unusual medical condition: Symptoms: burning pain in left leg, diziness when standing, difficulty walking, left leg falls asleep sometimes when i sleep MRI scan (Head, Neck) done, angiography done, blood test done, blood flow test done -> No issues observed Naproxen and Pregabalin reliefs pain bt it start again after 2 hours or so Any suggestions as I am dealing with this issue for more than a year now?

[@teresaanncopeland835]

Nice to read a MRI , can you please tell me what is going on with my thoracic t6 Dr says it's all ok but I can hardly stand up with pain ,I have an axal sequence video. Thank you very much

[@markrhodes3983]

I've been diagnosed with a pinched nerve due to a twisting injury in my Lower back I had an accident at work January 23. I been seriously suffering left lower back all the way down my left leg to and included my foot. I'm waiting for tests I also have left buttock blader failed and waiting for bowel investigations the latter two symptoms started the day of the accident and bowels the next day. I've been left on the shelf for a year. What do you think of my future

[@brightonmusic]

Could Lumbar Foraminal Stenosis cause pain in the left flank or does it just cause pain in the legs? Thank you.

[@Theevidencebasedchiropractor]

It could cause either or both

[@arunff0077]

Hii doctor, I have sharp pain and numbness in arm and shoulder but mri shows everything normal😬

[@Theevidencebasedchiropractor]

May be best to see if you can have a functional (moving) spine image such as Vertebral Motion Analysis.

[@pinksparkle1965love]

Thanks 😊

[@Theevidencebasedchiropractor]

you're welcome!

[@lorrainebartek2305]

Hi Dr Jeff , I just got my MRI , if you can look it for me pls , my doctor not really explaining it to me good , I’m suffering now pain in my neck

[@janiecakes851]

I was hoping to get a hint of what vertebrae are involved when the pain shoots to the pelvic are, shooting pain toward my lower abdomen and my inner thigh , starts in the back just dull and shooting while the lower back feels a totally different pain which is dull. I’m hoping the lumbar MRI I had will show me some sort of cause.

[@KeePrud]

How serious is bilateral stenosis I have a mild case as it says in my mri report… also I’m in the military would continuing service be safe?

[@KeePrud]

Also is bilateral stenosis reversal e?

[@aliraufkhan9700]

How to set stenoses due to herneated disc..... And i feel pain only in battics at resting position and numness in tough and coulf while walking? Plz suggest me

[@Theevidencebasedchiropractor]

Stenosis is compression on the nerve. I recommend visiting a local doctor for a full evaluation, diagnosis, and treatment plan.

[@skyrock2266]

I have severe pain one left side neck, shoulder, shoulder blade, wings.Constant neck pain that has taken over my life.I took an MRI and 2 doctor's reviewed it.They say it's normal.Its been 2 years , the pain is deep in my neck on the left side .I can't work on a desk , nor can I drive .The pain is really bad.I really don't know what to do.

[@Theevidencebasedchiropractor]

Sorry to hear about your challenges. I would continue looking for healthcare professionals who can help!

[@prateekgupta9272]

So here the foraminal stenosis was at L4~L5 foraminal level?

[@Theevidencebasedchiropractor]

These images have multiple level of foraminal stenosis, yes!

[@fredkalita3441]

Could I send you my MRI and then you could discuss it in separate podcast?

[@padye1980]

Dr..i have been in severe pain for over a year..my most recent mri says..severe neural forminal narrowing at L3/4 and at L4/5. ..with 5mm bulge and 4mm bulge..with central canal stenosis...is the term used stand for forminal stenosis....thank you for your time..

[@Theevidencebasedchiropractor]

Correct, stenosis is narrowing of a space.

[@RomoSanchTech]

With mild cervical foraminal stenosis, is it safe to recieve adjustments/spinal manipulation by a chiropractor?

[@Theevidencebasedchiropractor]

Great question- typically the answer is yes, but you'll need a complete evaluation by a local chiropractor to provide a accurate assessment and plan.

[@RomoSanchTech]

@@Theevidencebasedchiropractor thank you! I love getting adjustments. I recently found out I have the mild foraminal stenosis as well as two disc bulges in lower cervical spine slightly less than 1mm. They told me adjustments should be okay. But i wasn’t sure. I’m also wondering if there is anything i could be on the look out for to stay safe, any red flags that may indicate adjustments would not be good for someone with my condition?

[@EllaBella-76]

Yes It is f#### painful I have both lower and upper don’t need telling the challenges and why is this guy so cheerful 😭😭😭Mine is right under my scull base this hurts is dead on the right side or numb and my neck I can’t look left ?Plus Brain Atrophy Happy Birthday not even 47 Years Old this is poxy

[@Theevidencebasedchiropractor]

Hope you are able to find relief.

[@jamesmasters878]

Hello….I have a partial footdrop caused by herniated disc…..3/5 strength. My MRI is similar in showing no white space near L5. I have no pain just numb toe and the footdrop. Surgeon can’t make up mind whether to perform an opp as he is not certain it will resolve the footdrop. Tried steroid injections and no difference. Can physio help or I am stuck with footdrop or the risk of an operation which may not work? It’s been 11 weeks and footdrop not getting worse but also no better ?

[@Theevidencebasedchiropractor]

Good question - I would continue to work with your local healthcare team as they know your history, evaluation, and imaging. As a generality (this is not a diagnosis or recommendation for your particular case), foot drop should be addressed sooner rather than later through either conservative care (if improvement is gained) or through more aggressive treatment.

[@iamstacs]

Do you take emails?

[@novemberrain2247]

Hi! Two months ago I woke up with pain in my right calf which quickly became pain in my front right thigh. The pain in my outer half front thigh has not left since, and I have also had temporary pain in my hips, buttocks, and left front thigh. I went to a chiropractor and had an xray. He said I needed an mri, but I think he said I may have an issue with L45 or something. A couple of message boards are online with people having the same issues as me, but they don't have an answer. I need someone skilled and experienced. Do you have any information or direction that you would suggest? Do you do online consulting? Thanks so much for the videos and your time! 🙂

[@Theevidencebasedchiropractor]

Hello- I'd recommend visiting with a doctor locally who can reviewing your imaging and perform a complete and thorough examination and evaluation. Hope you find a path to relief.

[@KishanMainali]

Can Foraminal Stenosis on C3-C4 cause chest pain? I am going through long undiagnosed left chest pain which comes and goes and the pain level varies. Recent Cervical MRI says "right uncinate spurring which causes moderate narrowing of the right neural foramen". I found in some journals my symptoms sound more like "Cervical Angina". Is it possible?

[@Theevidencebasedchiropractor]

Hello Kishan, its not possible for me to speak about your case without a complete history and examination. What I can say is that chest, or thorax pain, can occur when there is compressions of the exiting nerves from the thoracic spine but I havent heard of it coming from the cervical spine.

[@AnanthEswarprofile]

Like this, it also happens on thoracic vertebra?

[@Theevidencebasedchiropractor]

Yes, it can happen throughout the spine.

[@AnanthEswarprofile]

@@Theevidencebasedchiropractor what will be the symptoms. Which vertebra disc herination affects heartbeat? How one will feel?

[@Theevidencebasedchiropractor]

@@AnanthEswarprofile symptoms can vary and should always be evaluated by a doctor. in general symptoms of a herniated disc with foraminal encroachment can include things like pain, numbness, tingling, muscle weakness, etc.

[@aubriellemorgan]

Is having a pinched nerve the same as foraminal stenosis?

[@Theevidencebasedchiropractor]

Most of the time the terms can be interchangeable.

[@juancarlosanguianoherrera4576]

thanks for the video... I had a question. Can foraminal stenosis be causing bowel or bladder disturbances or cauda equina syndrome?

[@tayofams2471]

Hello,can you please me read out my lumbar MRI if possible?Thank you.

[@robertgarrett3980]

Im 43 and this is my 1st experience with back pain of any sort really but had mri Thrusday saying "Multilevel disc dengeneration" C3-c7 saying on C5-C6 "Disc osteophyte complex and uncovertabral hypertrophy resulting in moderate to severe canal stenosis and slight effacement of the ventral cord .Severe bilateral neural foraminal narrowing." the other 3 disc say similar things that one being probably most severe. Really havent had chance for anyone to go over this with me ive been referred to spine specialists through a email. I really dont even know what it means other than the.pain ive been in last 6 weeks. Any advice would be greatly appreciated!

[@Theevidencebasedchiropractor]

Hello, it's impossible for me to comment on your case. However, in general, degenerative changes are a normal part of the aging process. Images are only part of the equation- your pain level and functional ability is what make the imaging findings "matter". We all have plenty of "not perfects" on images, the goal of the doctor is to sort through them and discover the "problem".

[@robertgarrett3980]

@@Theevidencebasedchiropractor Well, at times my right leg goes nearly completely numb and its like for short periods i have little control of it. Also in right arm n shoulder similar issues where i have lost strength and in my right hand very noticeable loss in thickness and muscles in hand to the point where even though im right handed and always my right hand being slightly bigger than the left to now my left hand is thicker now. Thank you for taking the time to respond it was greatly appreciated!

[@edwinj.travisdcccspacn2200]

The lateral you used was not equal! There is obviously a scoliosis since the T13-L3 show a whole vert body and the L3-5 show a partial body the IVF's are not equal because of the scoliosis and can NOT be equated! You must go sideways a slice or two to get equal views of the IVFs. On axial go up or down to view the whole IVF because the nerve normally leaves in the upper portion of an IVF and looks pinched in the lower portion of the IVF leading to false conclusions. The white in the spinal canal is fat pad and the grey is the actual nerves of the filum terminale after the cord covering has stopped and the remaining few nerves are preparing to exit the IVFs. Not much "cord" exists at that level. MRIs and CTs are limited by 2 dimensions just like plain films so you have to look at the torsions and bends in the spine to get the proper interpretations. Too simplistic! Most irritation at this level is NOT from discs but from "Hyperimbrication" of the zygapophseal joints, or 'jamming together of the facet joints' and not from disc bulges. Herniations with extrusions will put pressure on nerves coming out of fixed sacral nerve outlets but Not affect the sciatic nerve.

[@iamtoogummy5590]

When it reach Radiculopathy and L3 and L4 disc is affected is it ok to do a surgery or is it better to take an Epidural injection?

[@Theevidencebasedchiropractor]

It depends- you'll need a proper evaluation to know for sure. In many cases radiculopathy can be treated without surgical intervention.

[@iamtoogummy5590]

@@Theevidencebasedchiropractor What if the MRI showed some slippage along with the Foraminal Stenosis would it be best to do surgery to prevent further damage or is it ok to leave it as it is ?

[@Theevidencebasedchiropractor]

@@iamtoogummy5590 Great question- typically it would need a detailed analysis to determine if it's "stable" or "unstable". Based on that answer, your doctor can guide you towards the best treatment options

[@damianwilliams9080]

@@Theevidencebasedchiropractor i have frominal stonosis of the lumber spine cause by a bluging disc