What Does My MRI Scan Report Indicate?
Question: Hi
I had disc replacement surgery at c5 c6 levels
As I got again pain I have done MRI and it shows that
Posterocentral predominantly left paracentral extru5disc at c6 c7 level causing partial effacement of anterior subarachnoid space and indentation of left traversing nerve roof
Mild disc bulges at c3 c4 and c4 c5 levels causing partial effacement of anterior subarachnoid space
Dorsolumbar spine revealed desiccated l5 s1 disc
What treatment should I have now as I have severe pain
Iam female of 29 yrs age around 70 kgs
I had disc replacement surgery at c5 c6 levels
As I got again pain I have done MRI and it shows that
Posterocentral predominantly left paracentral extru5disc at c6 c7 level causing partial effacement of anterior subarachnoid space and indentation of left traversing nerve roof
Mild disc bulges at c3 c4 and c4 c5 levels causing partial effacement of anterior subarachnoid space
Dorsolumbar spine revealed desiccated l5 s1 disc
What treatment should I have now as I have severe pain
Iam female of 29 yrs age around 70 kgs
Brief Answer:
Take treatment as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concern. You have multiple cervical disc prolapse which is compressing exiting roots and thus causing radicular pain.
Operation at one level has already been done.
You can try following measures at present.
Pain killers with muscle relaxant like aceclofenac or diclofenac with tizanidine or thiocholchicoside.
Tapentadol can also be tried if pain not improving.
Pain modulator drugs like pregabalin or amitriptyline or gabapentin can be added and increased gradually.
Physiotherapy under guidance.
Vitamin D and calcium supplements.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Take treatment as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concern. You have multiple cervical disc prolapse which is compressing exiting roots and thus causing radicular pain.
Operation at one level has already been done.
You can try following measures at present.
Pain killers with muscle relaxant like aceclofenac or diclofenac with tizanidine or thiocholchicoside.
Tapentadol can also be tried if pain not improving.
Pain modulator drugs like pregabalin or amitriptyline or gabapentin can be added and increased gradually.
Physiotherapy under guidance.
Vitamin D and calcium supplements.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Nagamani Ng