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Met With An Accident. What Does The Diagnosis Mean?

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Posted on Tue, 22 Oct 2013
Question: Five lumbar type vertebrals bodies are noted, The last mobile segiment is L5. Straightening of the lumbar lordosis which maybe positional. A small 8mm high T2/High T1 signal lesion seen in the posterior aspect of the L5 vertebral body, likely a small hemangioma. The conus is unremarkable and terminates at T12-L1 . Vertebral body heights are maintained . Mild loss of disc at L5-S1 with associated mild disc desiccation. Mild loss of disc height seen at L1-L2. At L1-L2 , moderate to large sized anterior disc bulging noted. Posteriorly there is mild diffuse disc bulging noted. Mild facet hypertrophy . Central canal and neural foramen are adequate, At L2-L3 unremarkable aside from mild facet degenerative changes. At L3-L4, mild diffuse disc bulge, Mild to moderate facet hypertrophy, Central canal is maintained. Mild right neural foraminal narrowing bilaterally Central canal is maintained. At L5-S1 mild diffuse disc bulge, moderate facet hypertrophy central canal is maintained , mild neural foraminal narrowing bilaterally.
Could you please explain to me exactly what is going on in this diagnosis that I have received , I've had these problems since an accident i had that i flew out the window of the truck .
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
MRI reports do not suggest a serious problem

Detailed Answer:
Hi,

Thank you for posting your query.

I have gone through the MRI report of your lumbo sacral spine in detail.

First of all, I would like to reassure you that these findings do not suggest any serious neurological disease.

These indicate mild degenerative changes and bulging of discs at multiple levels. The findings are minor and do not require surgery.

Management at this stage would consist of physiotherapy, including back extension exercises, IFT, ultrasound therapy, etc. If there is neuropathic pain, affecting back and legs, then, pregabalin or gabapentin capsules would be effective.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Met With An Accident. What Does The Diagnosis Mean?

Brief Answer:
MRI reports do not suggest a serious problem

Detailed Answer:
Hi,

Thank you for posting your query.

I have gone through the MRI report of your lumbo sacral spine in detail.

First of all, I would like to reassure you that these findings do not suggest any serious neurological disease.

These indicate mild degenerative changes and bulging of discs at multiple levels. The findings are minor and do not require surgery.

Management at this stage would consist of physiotherapy, including back extension exercises, IFT, ultrasound therapy, etc. If there is neuropathic pain, affecting back and legs, then, pregabalin or gabapentin capsules would be effective.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (neurology) XXXXXXX Consultant Neurologist