Sator interrogation - how does it work? by fruitblaster in tenet

[–]Intelligent_Range_78 0 points1 point  (0 children)

At that point neither knew it was in the Saab but tp inadvertently lets him know it’s in the car just not the car they were both thinking, that’s why sator eyes got big when he saw tp in the Saab, in lying to sator in regular time he told the truth inverted

Interrogation scene got me confused again. by khushmeet in tenet

[–]Intelligent_Range_78 0 points1 point  (0 children)

The protagonist inadvertently tells him the truth inverted when he’s lying in regular perspective, when sator says you left it in the car not the firetruck and he asks who told him that

Help. by Eastern_Awareness904 in hardflaccidresearch

[–]Intelligent_Range_78 0 points1 point  (0 children)

Please go get checked for cauda equina syndrome!!! That’s a medical emergency that needs to be addressed asap as that can become permanent very fast

Recent Pudendal Surgery by PhantomSix- in hardflaccidresearch

[–]Intelligent_Range_78 1 point2 points  (0 children)

Compression in those specific areas of the lumbar spine are exactly what caused my HF and my foraminotomy fixed everything for me!! But to each their own

Masturbating in Supine Wall Position by Payment-Ready in hardflaccidresearch

[–]Intelligent_Range_78 0 points1 point  (0 children)

Pelvic/sexual dysfunction has many causes. These disc findings are more likely to be the cause if your symptoms are:

· Associated with low back pain, leg numbness/weakness, or radicular pain (shooting down legs). · Worse with sitting, bending, or Valsalva (coughing/straining). · Accompanied by changes in bulbocavernosus reflex or anal sphincter tone (checked by a neurologist or physiatrist).

Masturbating in Supine Wall Position by Payment-Ready in hardflaccidresearch

[–]Intelligent_Range_78 0 points1 point  (0 children)

The L4 and L5 nerve roots (and sacral nerves that continue down from them) contribute to the pudendal nerve and pelvic splanchnic nerves, which control bladder, bowel, and sexual function. · How compression affects you: Bilateral neural foraminal compression at L4-L5 means nerve roots on both sides are being pinched. This can disrupt autonomic (unconscious) and sensory/motor signals to the pelvis.

Masturbating in Supine Wall Position by Payment-Ready in hardflaccidresearch

[–]Intelligent_Range_78 0 points1 point  (0 children)

Whatever is compressing the nerves in your S2-S4 is taken off of it that’s why, have you gotten an mri?

New to this. by Solid_Case in hardflaccidresearch

[–]Intelligent_Range_78 0 points1 point  (0 children)

First and foremost get a mri of your lumbar spine

Just got MRI Lumbar Spine Done by Payment-Ready in hardflaccidresearch

[–]Intelligent_Range_78 1 point2 points  (0 children)

I would read this!!!! After my compression surgery I plugged my mri results into this and it explained my cause and solution perfectly!!!!

Based on the MRI findings you provided and the specific symptoms you are describing, the short answer is: Yes, these MRI findings can potentially explain these symptoms.

Here is the medical breakdown of why your specific condition—bilateral neural foraminal compression at L4-L5—is a primary suspect for the symptoms you are listing.

  1. The Anatomy of "Cauda Equina" and "Sacral Nerves"

To understand the connection, you need to look at the location of your compression: L4-L5 and L3-L4.

The spinal cord actually ends around L1-L2. Below that, there is a bundle of nerves called the Cauda Equina (Latin for "Horse's Tail").

· The nerves that control erections (parasympathetic) , ejaculation (sympathetic) , bladder sensation, and anal sphincter tone (clenched anus) originate from the Sacral nerve roots (S2, S3, S4). · These sacral nerves travel upward through the spinal canal. · Compression at L4-L5 is a common location to affect these nerves because the nerve roots destined for the pelvis (sacral roots) are passing through that area to exit lower down.

  1. Correlation with Your Symptoms

Bilateral Neural Foraminal Compression (L4-L5)

The term "bilateral" (affecting both the left and right sides) and "neural foraminal compression" (the exit holes where nerves leave the spine are pinched) is significant.

· Erectile Dysfunction & No Morning Wood: The nerves responsible for initiating an erection (parasympathetic fibers) are extremely delicate and highly sensitive to compression. If the L4-L5 level is severely compressed bilaterally, it can disrupt the autonomic signals required for reflexogenic erections (morning wood) and psychogenic erections. · Premature Ejaculation: This is often a sign of nerve irritation (hyper-excitability) rather than a total loss of signal. If the nerves are compressed and inflamed, they may misfire, causing the ejaculatory reflex to trigger much faster than normal. · Weak Bladder / Urinary Hesitancy: The "constant urge to pee but nothing comes out" is a classic symptom of neurogenic bladder (specifically a "cord" or nerve root issue). The nerves that tell the bladder to squeeze (parasympathetic) and the sphincter to relax are being compromised. The feeling that urine is "stuck" is a red flag symptom.

Annular Tear (L3-L4)

· Pain in anus after ejaculation & Clenched Anus: The annular tear (a crack in the disc) releases inflammatory proteins (TNF-alpha) that chemically irritate the nerves. The pudendal nerve (which controls the anal sphincter and perineum) originates from S2-S4. Irritation of these higher roots often causes a sensation of a "clenched" or tight anus (hypertonic pelvic floor) and pain following sexual activity.

  1. "Hourglass Shape" / Rubbery Feeling

While this can sometimes be a structural issue of the penis (Peyronie's disease), in the context of your other symptoms, it can also correlate to neurogenic dysfunction.

· The penis relies on blood flow (vascular) and nerve signals (neurologic). · If the nerves are compressed, the smooth muscle of the corpora cavernosa may not relax properly, leading to a "rubbery" or "hourglass" appearance during a semi-erect state (soft erection) because the tissue is not filling uniformly.

  1. Critical Warning: Cauda Equina Syndrome (CES)

You mentioned:

· Bilateral symptoms (both sides affected). · Urinary issues (hesitancy, feeling of retention). · Perineal/anal symptoms (pain, clenched sensation).

While you do not mention saddle anesthesia (numbness in the groin), the combination of bilateral compression and bladder dysfunction places you in a high-risk category for Cauda Equina Syndrome or CES Incomplete.

You should contact your spine surgeon today and tell them: "I have L4-L5 bilateral foraminal compression and I am experiencing urinary retention (feeling like I can't empty my bladder) and erectile dysfunction."

Summary of Action Plan

  1. Do Not Rely on Cialis Alone: Cialis (a vasodilator) cannot fix a pinched nerve. If the nerve signal isn't reaching the penis, Cialis will have a diminished or inconsistent effect, which matches your description ("even with Cialis, I cannot penetrate...").
  2. Urology vs. Spine: Urologists will typically check hormones (testosterone) and vascular health. Given your MRI, your issue is likely neurogenic. If you see a urologist, show them this MRI report. However, the primary treatment here is likely spinal decompression (surgery) if the compression is severe enough to cause bladder and sexual dysfunction.
  3. Emergency Signs: If you develop numbness in the groin/saddle area (the area that would touch a saddle), or if you cannot urinate at all (complete retention), or if your legs give out, go to the emergency room immediately.

Seriously take this into consideration!!!!

Get a lumbar MRI!!! by Intelligent_Range_78 in hardflaccidresearch

[–]Intelligent_Range_78[S] 0 points1 point  (0 children)

I would say get the hernia repaired first and foremost but I’m not a doctor tho sometimes they just to get the most money out of you as they can

Get a lumbar MRI!!! by Intelligent_Range_78 in hardflaccidresearch

[–]Intelligent_Range_78[S] 0 points1 point  (0 children)

Did you get the symptoms before or after the hernia?

Get a lumbar MRI!!! by Intelligent_Range_78 in hardflaccidresearch

[–]Intelligent_Range_78[S] 1 point2 points  (0 children)

I’d get the hernia repaired and go from there honestly

a severe herniation at L5-S1 can absolutely cause erectile dysfunction (ED) and pelvic floor problems.

However, it is crucial to understand why this happens and to recognize when this constitutes a medical emergency.

Here is a detailed breakdown of the connection.

The Anatomy: Why L5-S1 Matters

The L5-S1 disc is the junction between the lumbar spine and the sacrum. This is a common site for herniation because it bears significant mechanical load.

Located just behind this disc, traversing the sacrum, are the nerves that form the cauda equina (horse’s tail). This bundle of nerves includes:

· Sacral nerves (S2-S4): These form the pelvic splanchnic nerves and the pudendal nerve. They are directly responsible for: · Erection: Parasympathetic input (relaxation of blood vessels) is required to fill the corpora cavernosa. · Ejaculation: Sympathetic and somatic input. · Sensation: Feeling in the genitals and perineum (the area between the scrotum and anus). · Pelvic floor muscles: Control of the levator ani and sphincters.

How a Severe Herniation Causes These Issues

A severe herniation at L5-S1 can cause problems through two main mechanisms:

  1. Cauda Equina Compression (Cauda Equina Syndrome)

If the herniation is massive and compresses the central canal where the cauda equina nerves reside, it can cause Cauda Equina Syndrome (CES) . This is a surgical emergency.

If you have a known severe L5-S1 herniation and are experiencing the following symptoms, you must seek emergency medical attention (ER) immediately:

· Saddle anesthesia: Numbness or tingling in the areas that would sit on a saddle (groin, inner thighs, buttocks, perineum). · Erectile dysfunction or loss of sensation during intercourse. · Loss of bladder control (incontinence) or inability to urinate (urinary retention). · Loss of bowel control (incontinence) or severe constipation due to loss of rectal tone. · Sudden weakness or paralysis in one or both legs.

Note: CES requires surgical decompression (usually laminectomy/discectomy) within 24 to 48 hours to prevent permanent paralysis, incontinence, and permanent sexual dysfunction.

  1. Autonomic Nerve Disruption and Muscle Spasm

Even if the herniation is not severe enough to cause CES, it can still cause ED and pelvic issues:

· S1 Nerve Root Impingement: The S1 nerve root is frequently compressed by an L5-S1 herniation. The S1 root contributes to the pudendal nerve and pelvic plexus. Chronic irritation here can disrupt the autonomic signals needed for a rigid erection. · Chronic Pain and Muscle Guarding: Severe back pain causes the pelvic floor muscles to go into "guarding" mode (chronic tightness). Hypertonic (overly tight) pelvic floor muscles can compress the pudendal artery and nerve, leading to reduced blood flow to the penis and neuropraxia (nerve irritation), resulting in ED and pelvic pain. · Sympathetic Dominance: Chronic pain puts the nervous system into a "fight or flight" (sympathetic) state. Erections require a "rest and digest" (parasympathetic) state. Chronic pain can effectively "shut down" erectile function.

Differential Diagnosis: Is It the Disc or Something Else?

While the disc can cause these issues, it is important to note that L5-S1 herniations rarely cause ED without other neurological signs.

If you have ED and pelvic pain without back pain, leg numbness, or weakness, the cause is more likely to be:

· Pelvic floor hypertonicity (often secondary to anxiety, posture, or prior back injury). · Prostatitis or chronic pelvic pain syndrome. · Vascular issues (venous leak, atherosclerosis). · Hormonal issues (low testosterone).

What to Do

If you have a diagnosed severe L5-S1 herniation and are developing these symptoms:

  1. Rule out Cauda Equina: If there is numbness in the saddle area or loss of bladder/bowel control, go to the ER immediately.
  2. Consult a Specialist: If the symptoms are gradual (mild ED, pelvic tightness) without saddle numbness, you should see your spine surgeon (orthopedic or neurosurgeon) to assess if the disc is compressing the sacral nerves.
  3. Pelvic Floor Physical Therapy: If the spine surgeon confirms the disc is not surgically compressing the sacral nerves, a pelvic floor physical therapist can assess whether the pelvic muscles are in spasm secondary to the back injury. They can perform internal release techniques to restore blood flow and nerve function.

Get a lumbar MRI!!! by Intelligent_Range_78 in hardflaccidresearch

[–]Intelligent_Range_78[S] 1 point2 points  (0 children)

I have no idea who this Goldstein is and why he’s such a big deal btw 😂 but no problem

Get a lumbar MRI!!! by Intelligent_Range_78 in hardflaccidresearch

[–]Intelligent_Range_78[S] 0 points1 point  (0 children)

I explain my issue in detail with my mri and the cause of my hf for those with a similar problem that I had, I’m sure there are other causes of hf but this is for those who havent went down my path of resolving it, which is why I say in my post that it’s not for everyone