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What Does My MRI Scan Report Indicate?
Question: Hi,
I am 56 year old female having type 2 diabetes.
My serum Vitamin D (25 hydroxy Vitamin D) is 12.5 ng/ml.
Alkaline phosphatase (SAP) is 222 u/l.
Vitamin B12 (Cyanocobalamin) is 328 pg/ml.
HbA1c is 8.5.
Undergoing H. Pylori treatment with Pentocid HP, and almost half of the course is completed.
Symptoms: There is consistent pain in waist region and leg, difficulty in using stairs or sitting on floor and standing back. Since last 4 days, the pain is unbearable during nights and cannot sleep properly. This episode happens during almost every winters, and occasionally during other seasons. I can not walk for longer distances (say for 1 km) as it makes leg pain severe.
I have consulted my doctor who conducted MRI and NCV test.
The results are as follows:
MRI Impression- Mild degenerative lumbar spondylosis. (Detailed Report attached)
Mild posterior diffuse annular bulge of L3-4, L4-5, and L5-S1 discs mildly impinging
the bilateral L4, L5, and S1 nerve roots respectively at these discs level.
NCV impression- Mild bilateral peroneal motor neuropathy.
My question is what are the possible treatments? Whether surgery can be avoided and for how long? And any alternative treatment like physiotherapy or medication or any other ways will revive my condition? Is it a serious condition?
I am 56 year old female having type 2 diabetes.
My serum Vitamin D (25 hydroxy Vitamin D) is 12.5 ng/ml.
Alkaline phosphatase (SAP) is 222 u/l.
Vitamin B12 (Cyanocobalamin) is 328 pg/ml.
HbA1c is 8.5.
Undergoing H. Pylori treatment with Pentocid HP, and almost half of the course is completed.
Symptoms: There is consistent pain in waist region and leg, difficulty in using stairs or sitting on floor and standing back. Since last 4 days, the pain is unbearable during nights and cannot sleep properly. This episode happens during almost every winters, and occasionally during other seasons. I can not walk for longer distances (say for 1 km) as it makes leg pain severe.
I have consulted my doctor who conducted MRI and NCV test.
The results are as follows:
MRI Impression- Mild degenerative lumbar spondylosis. (Detailed Report attached)
Mild posterior diffuse annular bulge of L3-4, L4-5, and L5-S1 discs mildly impinging
the bilateral L4, L5, and S1 nerve roots respectively at these discs level.
NCV impression- Mild bilateral peroneal motor neuropathy.
My question is what are the possible treatments? Whether surgery can be avoided and for how long? And any alternative treatment like physiotherapy or medication or any other ways will revive my condition? Is it a serious condition?
Brief Answer:
You can get relief with medicines.
Detailed Answer:
Hello,
Thanks for posting your query.
The symptoms that you have are due to degenrative disc bulge with nerve root impingement and peroneal neuropathy.
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician. Adding methylcobalamin supplements will help in peroneal neuropathy. Usually adequate response is seen with medicines. It is not a very serious condition.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
You can get relief with medicines.
Detailed Answer:
Hello,
Thanks for posting your query.
The symptoms that you have are due to degenrative disc bulge with nerve root impingement and peroneal neuropathy.
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician. Adding methylcobalamin supplements will help in peroneal neuropathy. Usually adequate response is seen with medicines. It is not a very serious condition.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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