Lateral Lumbar Interbody Fusion (XLIF)

Health Q&A
B12 B9 deficiency - Neurological symptom

Hi My serum value B12 226 pg/ml, past 1 year ago had 162 pg/ ml so doctor prescribed 3 re-nerve plus injection. My current MMA - 481, active b12- 32, Homocysteine >50, folate - 1.19, ferritin serum 32.3. I have been facing floating sensation for past 2 years reduction in libido, pins and needles pain in palms and feet and some time severe pins and needle pain in penis after ejaculation Already visited many doctors don't know which doctor to visit. My symptoms are not getting improved come and goes not able to judge what is happening Kindly suggest first course of treatment should it be b12 injection or some other treatment like oral supplements and also which doctor I have to visit?

Eye vision loss due to nerve block strok

Sudden loss of eye vision on 1st April 2026. After that treatment goes with neurologist for 3 months . They checked his nerves blocked due to stroke. Several test like CT Angio Head & neck done. MRI Done. But after 3 months of medication. Eye vision still not recover. Kindly suggest any angiography treatment required for the same. Or what to do next, so that eye vision return back. Medicine - Cognivel 1 month Tab - Ecosprin AV for 3 months. Kindly suggest me what to do.

Restrictive Movements

I had a accident, fall from motorcycle at around 30-40 km/ hr on 24 th May 2026 Had some cuts at knee and feeling of chest muscles tightness/heaviness Couldn’t walk for 2 weeks out of home Then Visited a orthopaedic He gave a medicine etodolac + thiocolchicoside Initial few days were good, but one day suddenly had a panic attack like wanting to throw kicks and hands in the air etc Stopped tooking those medication Now the pain in the muscles and knee has all gone , No problem in walking, etc Clear X-rays But mind feels restrictive or hesitant while going out Like the actions I used to perform before bed rest feels very heavy or sluggish on the mind etc.

Spinal problem

Osteophytes and mild disc dessication. Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra. Mild facet joint arthropathy at l5-$1 level. Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots. AP spinal canal (thecal sac) diameter: L1-L2- 13.4mm L2-L3-11.8mm L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication. Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal. Few small perineural cysts are seen in bilateral neural foramina at multiple levels. At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.

Disc bulge and nerve compression

For more than 1 year I have been suffering from back and left leg pain and numbness in my leg, I went to a spine surgeon and took an MRI and came to know that I have mild to moderate disc bulge along with nerve compression and prescribed a pain killer, muscle relaxant and supplements for a  month. Earlier the pain was more like intense tiredness like pain now the pain which I am having for the last 2 days is like shooting pain going from my buttock to my calf , I don't know if my symptoms are improving or not, I am still getting  pain and numbness and  I am worried that why the pain and numbness is not going. 15 days are left in my medicine to finish the course. Please help, thank you

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Doctors
Dr. Colleen M Opremcak - Neurologist
Dr. Colleen M Opremcak Neurologist (Chief Residency in Psychiatry, Class of 1982, Medical School, Residency - ID) 44 years experience Ohiohealth Behavioral Health
Columbus 43214, COLUMBUS
Dr. Michael Karl Racke - Neurologist
Dr. Michael Karl Racke Neurologist (Medical School, Class of 1985, Internship, Residency - ID, Fellowship 2, Medical degree, DO, Residency in Neurology, Fellowship in Neuroimmunology/Multiple Sclerosis, Internship-Internal Medicine) 41 years experience Hudson Regional Hospital
Columbus 43210, COLUMBUS
Dr. Daniel Jones - Neurologist
Dr. Daniel Jones Neurologist (Internship, Residency - ID, Neurology, Medical degree, DO, Fellowship 2, Class of 1989) 36 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Punit Agrawal - Neurologist
Dr. Punit Agrawal Neurologist (Doctor of Osteopathic Medicine (DO), Medical School, Residency in Neurology, Internship-Internal Medicine, Medical Education, Class of 2020) 24 years experience Ohio State Outpatient Care New Albany
Westerville, COLUMBUS
Dr. Jason Lee Barfield - Neurologist
Dr. Jason Lee Barfield Neurologist (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Residency in Neurology, Fellowship in Clinical Neurophysiology, Medical School) 24 years experience Ohiohealth Physician Group Neurology New Albany
Columbus 43230, COLUMBUS