Bilateral lumbar transforaminal epidural steroid injection

I had x-rays taken after several yrs of extreme hip and leg pain and difficulty standing, walking and laying down. x-rays are showing mild narrowing of L4/L5 space and complete loss of interspace at L5- S1. Also straightening of the lumbar spine. Vertebre are all lined up ok. I have no difficulty bending forward to the floor but can not bend backwards. I am more than a month away from a MRI to get a better look. I have psoriatic and rheumatoid arthritis but it is well controlled by Enbrel. There is Bilateral sacroiliitis noted more prominent on the right side. No evidence of fusion or erosions noted. (this has been there 20yrs and has not gotten worse.) While I am waiting for the MRI, is there a type of exercise that can help my mobility? Chiropractic adjustments were helping but insurance has run out on that for the rest of this year. Any recommendations would be great. Thanks

Multiple abdominal hernias constitute a quite rare event in surgical practice. Lumbar hernias are even rarer and, to our knowledge, this is the first report in the English literature of its association with abdominal hernias. A case of multiple abdominal hernias, namely an epigastric hernia and a left inguinal hernia together with a bilateral lumbar hernia in a 65-year-old man attending the Out-patient department of Hoima Hospital-Uganda is described. A one-stage repair under local anaesthesia was chosen. The patient recovered uneventfully and no recurrence was noted at 1 year follow-up. This case report supports that a "one-stage" procedure under local anaesthesia can be appropriate as surgical treatment of multiple abdominal hernias when abdominal defects are of a small size. A minimal surgical approach to lumbar hernias seems also suitable when transverse muscle aponeurosis defect can be carefully repaired and covered with adjacent muscles.

Many forms of foraminal narrowing can be treated with our minimally invasive decompression surgery, which removes a small portion of the bone spur or damaged disc that is protruding into the foraminal canal. Some patients may require the entire disc or vertebra to be removed, however, if the spine condition is severe. In this case, a minimally invasive stabilization surgery would be performed to remove the damaged portion of the spine and then stabilize the spine with an artificial disc or a bone graft made from the patient’s own body.

Bilateral lumbar transforaminal epidural steroid injection

bilateral lumbar transforaminal epidural steroid injection

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