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What Does My MRI Scan Report Indicate?
Question: Can you please explain "bilateral neural forminal narrowing at L2-L3 and L3-L4 disc levels" means and if this kind of problem observe in scanning, do we need to go for surgery and are there any alternative ways to treat this.
Brief Answer:
foraminal stenosis which leads to compression of exiting nerve root
Detailed Answer:
Hello,
I have studied your case and report.
Your MRI says foraminal protrusion causes bilateral foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg].Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.
Your also MRI says disc bulge L2-L4 L5 with annular tears leads to compression of nerve root which. Due to compression of this nerve root there is pain in your back and leg.
Medication like methylcobalamine with neurotropic like pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor.
You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.
I will advise to check your vit B12 and vit D3 level.
As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. If no relief with conservative therapy then you can go for surgery.
If you have severe pain with weakness then you can do surgery immediately.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Take care.
foraminal stenosis which leads to compression of exiting nerve root
Detailed Answer:
Hello,
I have studied your case and report.
Your MRI says foraminal protrusion causes bilateral foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg].Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.
Your also MRI says disc bulge L2-L4 L5 with annular tears leads to compression of nerve root which. Due to compression of this nerve root there is pain in your back and leg.
Medication like methylcobalamine with neurotropic like pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor.
You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.
I will advise to check your vit B12 and vit D3 level.
As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. If no relief with conservative therapy then you can go for surgery.
If you have severe pain with weakness then you can do surgery immediately.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
please let me know what are the side effects if we go for surgery.
Also let me know this Nuero or ortho problem
Also let me know this Nuero or ortho problem
Brief Answer:
You can consult orthopaedic surgeon specialist in spine surgery.
Detailed Answer:
Hello again,
Now with advance technology spine surgeries have become safer but known complication include.
Complication of spine surgery includes –persistent pain, pain on exertion, and heaviness in leg, paraplegia, headache, and hypotension.
This is ortho problem.
You can consult orthopaedic surgeon specialist in spine surgery.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
You can consult orthopaedic surgeon specialist in spine surgery.
Detailed Answer:
Hello again,
Now with advance technology spine surgeries have become safer but known complication include.
Complication of spine surgery includes –persistent pain, pain on exertion, and heaviness in leg, paraplegia, headache, and hypotension.
This is ortho problem.
You can consult orthopaedic surgeon specialist in spine surgery.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr XXXXXXX
At this moment patient is suffering with one or multiple of this " persistent pain, pain on exertion, and heaviness in leg, paraplegia, headache, and hypotension". Post surgery again if he gets pain from spinal cord to leg and heaviness in leg then can't it be a problem??
At this moment patient is suffering with one or multiple of this " persistent pain, pain on exertion, and heaviness in leg, paraplegia, headache, and hypotension". Post surgery again if he gets pain from spinal cord to leg and heaviness in leg then can't it be a problem??
Brief Answer:
Persistence of postoperative pain is a rare occurrence.
Detailed Answer:
Hello again,
I couldn't understand clearly what you meant in the starting part of question.
I am presuming you are talking about persistence of post-operative pain. It is a remote possibility as most of the surgeries if done by an experienced spine surgeon, get cured with low rate of recurrence.
All those complications which I mentioned are probability or known complication they may happen or may not happen.
But post operative pain is common complication which can be due to inadequate release, improper operation,non fixation in unstable cases, infection.
I did not get you what yous said about "At this moment patient is suffering with on or multiple of this...". Please elaborate more.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Persistence of postoperative pain is a rare occurrence.
Detailed Answer:
Hello again,
I couldn't understand clearly what you meant in the starting part of question.
I am presuming you are talking about persistence of post-operative pain. It is a remote possibility as most of the surgeries if done by an experienced spine surgeon, get cured with low rate of recurrence.
All those complications which I mentioned are probability or known complication they may happen or may not happen.
But post operative pain is common complication which can be due to inadequate release, improper operation,non fixation in unstable cases, infection.
I did not get you what yous said about "At this moment patient is suffering with on or multiple of this...". Please elaborate more.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
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