Kraus Back and Neck Institute in Houston, TX spinehealth.com

Relief from Lower Back and Neck Pain

 
surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
              
 "Applying Science to the Art of Medicine"                                                  
                              .....................................................................
  
                       
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
                                                         
      To arrange  an appointment, call 281-870-9292,  visit  neurosurgerypa.com
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                
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                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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low back pain ache houston texas united states
Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!
    
 
   

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best doctors america

top doc doctor  houston texas  2007
   last updated
  June 19, 2009

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lumbar radiculopathy and sciatica

diagnosis of low back pain

 

Radiculopathy as well as sciatica is the radiation of pain to the lower extremity.  It is the result of pressure on a nerve root, usually by a herniated lumbar disc.  Besides a disc, other sources of compression may be arthritic spurs, spinal stenosis and foraminal stenosis.

lumbar nerve roots, their distributions, and the discs which commonly affect them

L1 sciatica: T12/L1 disc; L1 root supplies sensation to the thigh and the anterior scrotal or anterior labial branches, as the ilioinguinal nerve.  The lumbar disc which would typically affect this nerve is the T12/L1 disc centrally, or the L1/L2 disc laterally in the neural foramen.

L2 sciatica: L1/L2 disc; L2 root supplies sensation to the front and side of the thigh, as the lateral femoral cutaneous nerve.  The lumbar disc which would typically affect this nerve is the L1/L2 disc centrally, or the L2/L3 disc laterally in the neural foramen.

L3 sciatica: L2/L3 disc; L3 root supplies sensation to the front and side of the thigh, as the lateral femoral cutaneous nerve.  The lumbar disc which would typically affect this nerve is the L2/L3  disc centrally, or the L3/L4 disc laterally in the neural foramen.

L4 sciatica: L3/L4 disc: L4 root supplies sensation to the anterior lower thigh.  The lumbar disc which would typically affect this nerve is the L3/L4 disc centrally, or the L4/L5 disc laterally in the neural foramen.

L5 sciatica: L4/L5 disc: L5 root supplies sensation to the top of the foot and the great toe.  The lumbar disc which would typically affect this nerve is the L4/L5 disc centrally, or the L5/S1 disc laterally in the neural foramen.

S1 sciatica: L5/Sa disc: S1 root supplies sensation to the outside of the foot, and the small toe.   The lumbar disc which would typically affect this nerve is the L5/S1 centrally.  There is no S1/S2 disc to herniate laterally to affect it.

S2 sciatica: no disc to affect this root individually.  Supplies rectal sensation.

S3 sciatica: no disc to affect this root individually.  Supplies rectal sensation.

S4 sciatica: no disc to affect this root individually.  Supplies rectal sensation.

 

diagnosis of low back pain

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