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Neuropathy from lumbar stenosis?

Neuropathy | Last Active: Sep 29, 2023 | Replies (75)

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@westcom

Jennifer: Thank you for the information and suggested related possibilities. I will check them out. I also have a T11-12 compression of the spinal cord which is causing balance instability and will require surgery. My neurosurgeon ( who did his residency at Mayo Rochester) is unsure about laminectomy of L4-5 with fusion ( I have a spondolithesis there) because symptoms don’t correlate with MRI findings. No leg pain, just intermittent low back pain and the PN that is debilitating.

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Replies to "Jennifer: Thank you for the information and suggested related possibilities. I will check them out. I..."

@westcom I was a patient that surgeons couldn't correlate the imaging with my symptoms, and 5 of them got it wrong before I came to Mayo. The spinal cord compression in my neck was causing pain all over my body. It's called "funicular" or referred pain. My Mayo neurosurgeon knew about this, and if fact, I found out about it because of one of his papers. Here is a link to medical literature that describes it.

http://europepmc.org/article/PMC/3111492

I think that if you have something happening at a couple different levels at the same time, it might bring this on. I have a bulging lumbar disc, and I had cord compression at C5/C6. After cervical fusion, it stopped all the pain. When you have listhesis, and one level is slipping over another, essentially that makes the spinal canal smaller at that location and it could put more pressure on the spinal cord if there is no fluid space left around it. I had 2 mm of slipping and when muscle spasms moved that, it caused me to limp with an uneven gait. I couldn't get any surgeon to help me until I came to Mayo. I sent a copy of this literature when I applied to be seen at Mayo.

Do you have surgery scheduled now?