Impress means to indent of affect. Ventral refers to the front, the opposite of posterior. Thecal sac is the outer covering of the spinal cord. This means
there are bone spurs on the back of the spinal bones
, putting pressure on or affecting the front part of the outer layer of the (neck) cervical spinal cord.
What causes thecal sac deformity?
Disruption of the dural sac may occur as a complication of a medical procedure, or as a consequence of
trauma causing a cerebrospinal fluid leak
, or spontaneously resulting in a spontaneous cerebrospinal fluid leak.
What happens when the thecal sac is compressed?
If there is central stenosis and marked compression of the entire dural/thecal sac, the patient may demonstrate
paralysis
(e.g., cauda equina syndrome) with sphincter loss (bladder and rectal dysfunction).
What is indentation of spinal cord?
Dorsal spinal cord indentation can be seen secondary to
dorsal thoracic arachnoid web
, idiopathic spinal cord herniation, and arachnoid cyst. 1, 2, 3 The arachnoid web is a transverse intradural extramedullary band of thickened arachnoid membrane extending to and indenting the dorsal surface of the spinal cord.
How do doctors treat bulging discs?
Treatments for a bulging disk will depend on its severity and location. Doctors may recommend
anti-inflammatory medications
to help with pain and reduce inflammation. For people with severe pain, steroid injections may be a suitable short term solution. If the disk ruptures, bed rest may be necessary.
Does indentation of the thecal sac cause pain?
This bulging material may contact or “pinch” the thecal sac or nerve roots. There are a variety of symptoms n a case like the one above. Some people
may experience little to no discomfort
, while others may have severe radicular pain, which travels to the shoulder blade, down the arm and into the hand or fingers.
What are the symptoms of arachnoiditis?
- Tingling, numbness or weakness in the legs.
- Sensations that may feel like insects crawling on the skin or water trickling down the leg.
- Severe shooting pain that can be similar to an electric shock sensation.
- Muscle cramps, spasms and uncontrollable twitching.
Why is spinal cord compression an emergency?
Spinal cord compression. Spinal cord compression constitutes a true emergency
because the initial injury to the spinal cord will lead to permanent loss of neurologic function if the pressure of the tumor on the cord is not relieved quickly
.
How do you get spondylosis?
Spondylosis is a type
of arthritis spurred by wear and tear to the spine
. It happens when discs and joints degenerate, when bone spurs grow on the vertebrae, or both. These changes can impair the spine’s movement and affect the nerves and other functions.
What is the treatment for severe Foraminal stenosis?
Nonsurgical treatments, such as
physical therapy, pain medication, activity modification, and/or epidural injections
are typically tried first for cervical foraminal stenosis.
Does spinal cord compression require surgery?
Many cases of spinal cord compression do require surgery
, but in mild cases, your healthcare provider may recommend non-surgical therapies to decrease pain and improve your quality of life, such as medication and physical therapy.
Can you recover from spinal cord compression?
With many injuries, especially incomplete ones, the individual may recover some function
as late as 18 months after the injury
. In very rare cases, people with spinal cord injury will regain some functioning years after the injury.
What is the indent in your back called?
A sacral dimple
is an indentation in the skin on the lower back — usually just above the crease between the buttocks. Most sacral dimples are small and shallow. A sacral dimple consists of an indentation, or “pit,” in the skin on the lower back, just above the crease between the buttocks.
Are bulging discs permanent?
One of the most significant complications of a bulging disc is
permanent nerve damage
. Without treatment, compressed nerve roots in the spine can be permanently damaged, leading to chronic pain, weakness, and loss of sensation.
Can you fix a bulging disc without surgery?
The good news is that the vast majority of herniated discs can
be treated without surgery using manual therapy and exercise
or with IDD Therapy disc treatment. It is only a small percentage of cases which go on to have surgery.
What is the fastest way to heal a bulging disc?
Treatment with rest, pain medication, spinal injections, and physical therapy
is the first step to recovery. Most people improve in 6 weeks and return to normal activity. If symptoms continue, surgery may be recommended.
