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What Does This MRI Of Lumbosacral Spine Report Indicate?

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Posted on Wed, 14 Oct 2015
Question: Hello
I got my MRI Lumbosacral Spine + Whole Spine Screening
The following are the findings
At L4-L5 level : Diffuse disc bulge indenting the cal sac mildly enroaching bilateral neural foramina however not abutting exitimg nerve roots
Rest of the lumbosacral vertebral bodies show normal marrow signal
The facet joints are normal
Rest of intervertebral discs are normal
The spinal cord is normal
No abnormal soft tissue is seen
No bony canal stenosis is noted

My physician has said not to worry and just control the body weight

Is the above a serious concern or can be treated with medicines and bringing down body weight
doctor
Answered by Dr. Neeraj Kumar (25 minutes later)
Brief Answer:
Nothing to worry, follow the advice properly

Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
The MRI spine is showing displaced disc atone level which is not causing any problematic compression of canal or roots.
At this age the cause of back pain is usually muscular and less commonly disc related.
For treatment and prevention of progression or deterioration you need to follow some advice strictly.
1) avoid lifting heavy objects or carrying any heavy object overhead.
2) Avoid stooping forward.
3) Try not to sit in squatting position.
4) Regular back strengthening exercises as advised by physiotherapist .
5) Take short term pain killers with muscle relaxant if pain severe.
In most cases disc will go back in its normal position.
Loosing weight with appropriate body mass index will be helpful.
Hope you found the answer helpful.
Do get back with further queries.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Neeraj Kumar (38 minutes later)
hello sir
thanks for the reply
the pain is radiating from right side lower back to right buttocks and right leg
is it serious
under present condition is it ok to join gym
what other precautions do i need to take like while sleeping and sitting, is it possible that this problem has arised from bad sleeping habits as i have very bad sleeping habit
my body weight is 86.4kg and my height is 5.10"
what should be my overall measures to prevent this going further
doctor
Answered by Dr. Neeraj Kumar (47 minutes later)
Brief Answer:
Avoid gym and reduce weight

Detailed Answer:
Hello,
If you have radiation to lower limb then there may be some root compression present .
You need to be careful and follow all precautions and treatment advised.
Proper sleep and weight reduction will be beneficial .
Ideal weight for your height will be less than 80 kgs.
You should avoid gym and do physiotherapy as advised by physiotherapist.
Hope you found the answer helpful.
regards
Dr Neeraj Kumar
neurologist
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Does This MRI Of Lumbosacral Spine Report Indicate?

Brief Answer: Nothing to worry, follow the advice properly Detailed Answer: Hello XXXX, I have gone through your question and understand your concerns. The MRI spine is showing displaced disc atone level which is not causing any problematic compression of canal or roots. At this age the cause of back pain is usually muscular and less commonly disc related. For treatment and prevention of progression or deterioration you need to follow some advice strictly. 1) avoid lifting heavy objects or carrying any heavy object overhead. 2) Avoid stooping forward. 3) Try not to sit in squatting position. 4) Regular back strengthening exercises as advised by physiotherapist . 5) Take short term pain killers with muscle relaxant if pain severe. In most cases disc will go back in its normal position. Loosing weight with appropriate body mass index will be helpful. Hope you found the answer helpful. Do get back with further queries. Regards Dr Neeraj Kumar Neurologist