Brief Answer:
Three level disc prolapse L3-L4,L4-L5,L5-S1

Detailed Answer:
Hi there.

Welcome to Healthcare Magic.

Thanks for the query.

Could you please mention the canal diameters mentored in your MRI Report ?

You apiary have multiple level disc prolapse with degenerative discs at L3-L4, L4-L5 and L5-S1.

The disc prolapse regions are yet not severe enough to compress the nerves according to the films.

There is the thecal sack indentation die to the disc prolapses. Most prominent disc prolapse is that at L4-L5.

You also need to get a flexion and extension Xray of your lumbosacral spine to look for in St billi. If there is no instability then you can get an Epidural steroid injection or Discectomy surgery if you have severe symptoms of sciatica. If there is instability you can get a discectomy surgery with stabilisation with screws.

Canal stenosis will get worse with time and not better. It needs intervention.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

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Brief Answer:
No neck films. Needs laminectomy and discectomy

Detailed Answer:
Hi there.

The disc is made of two parts. An outer ring if fibrous tissue called Annulus fibrosus and a central circular region of jelly like fluid called Nucleus pulposus.

Annular tear inducers that the disc has worn out and the Annulus has torn, causing the central jelly like material to push through this tear and compress the nerves.

You seem to be having more nerve compression on the left side dude to the pushing of the Nucleus pulposus against the torn Annulus.

The all sach indentation is just the mild compression of the sacred containing your nerves, called the Theca.

Your neck films are not attached in your Reports.

Laminotomy would be a wise option considering normal canal diameters for now but there is a torn annulus and this needs discectomy and later on if the canal gets narrower, it may need further decompression.

If the canal diameters get shorter later on then it may necessitate Laminectomy or removal of entire lamina and may require stabisation if the discs get further degenerated. The operation won't make it worse but you may need future surgeries if this is not adequately treated. I would go for laminectomy and discectomy.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

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Brief Answer:
No neck scans yet

Detailed Answer:
These are the same scans which I have seen. No neck scans yet.

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Brief Answer:
Mild cord compression

Detailed Answer:
Hi there.

I did review your neck scans. There is mild cord compression at C4-C5 region. You could be having weakness, tingling and numbness in the right arm or hand. This could progress if not treated. I advise a discectomy and posterior decompression to be done here as well. Drop foot cannot be made out from an MRI per se but a proper Clinical examination will find out.

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Brief Answer:
Removal of Bone and disc

Detailed Answer:
Laminectomy and discectomy means Removal of Bone posteriorly and also Disc respectively. Also of the is abt instability, fixation of screws will be done.. This shall give slave for the cord to exist without indentation.

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Brief Answer:
Pressure on the sacred containing nerves.

Detailed Answer:
Thecal Indentation means pressing into the sacred containing the verbs. It is not serious. It only indicates that the disc is pressing into the savings and if further slipping of the disc occurs, it could compress the nerves in the sac as well.

The camping pain is due to nerve root compression and this needs to be decompressed by a laminectomy.

Every surgery has its risks. In this case risk of nerve damage, infection of the sacred containing the nerves called Meningitis, wound complications etc.

Prognosis is better if decompression and fixation surgery is done so that further prolapse won't take place and also more space for the nerves to 'breathe'.

It is best to discuss with your Surgeon as he has examined you and knows the power of each muscle in your limbs which is important to plan the surgery. Also flexion extension xrays are important to note any instability.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

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Brief Answer:
Answers mentioned

Detailed Answer:
Hi there.

If you delay the surgery, your symptoms could get worse and there could be increased risk of paralysis, though not soon.

Laminotomy involves making a key hole in the lamina bone and removing the contents of the disc. There is no objection to this kind of surgery but there can be some leftovers of the diseased annulus or nucleus pulposus of the disc which can later herniated and cause pain again. On the other hand, a laminectomy involved removing of the lamina bone which gives a good field of working space to remove all of the diseased annulus and nucleus pulposus so no chance of disc slip again. Annulus tears will cause pain in the back that can radiate to the limbs, gets worse in bending forward and lifting weights or coughing.

Neck scan shows mild cord compression. If you do not have weakness, tingling or numbness in your hands then not to worry, but if you do, this requires decompression surgery as well.

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