Reading From MRI: L4/5: AP Dimension Of The Thecal Sac

Posted on Sun, 4 Aug 2019

Question: Reading from MRI: L4/5: AP dimension of the thecal sac measure 14 mm. There is left greater than Right ligamentum flavum hypertrophy. There is inferior forominal narrowing due to disc on the right with minimal abutment of the existing right L4 nerve root. Mild compromise of the existing right L5 nerve root. Should i get an epidural injection?

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
Epidural is beneficial as it is mild.

Detailed Answer:
Hi ma'am
Thank you for asking ask a doctor 24/7 service.

I have gone through your query with diligence. As your compromise on L5 nerve root is mild epidural will be beneficial. Benefits can last for 3 months at least.
If symptoms not improving better to go for microdiscectomy.
If you have never tried TENS (physiotherapy) then better to go for this first. If there is no improvement in this then you can think of epidural.

Let me know if anything not clear.
I am happy to help you anytime.
Thanks.

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Above answer was peer-reviewed by : Dr. Raju A.T