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What Does This MRI Report Of Spine Indicate?
Question: Dear Sir
I am having back pain for two years and now for last one month i having acute pain in legs also though thre is some relief by taeking pain killer medicine. The MRI of LUMBOSACRAL SPINE was done and the findings are:-
1.Lumbar lordosis is straightened.
2.The verteberal bodies are normal in hieght & signal intensity.No evidence of abnormal marrow signal alteration/body destruction.
3.Disc dessication is seen at L-S levels.
4.L5-S1 disc shows small annular tear in mid zone.The disc shows central protrusion,however no significant nerve root compression is seen.
5.No significant disc herniation/osteophytic compression seen at any other level in lumbar spine.
6.Bilateral ligamentum flavum hypertrophy is seen at D10-D11 level leading to canal stenosis.
No altered signal intensity is seen in the cord parenchyma at this level.
Mild ligamentum flavum hypertophy is also at D7-D8 level.
The distal cord and conus medullaris are normal.
The paraspinal soft tissues appear normal.
Sagittal canal diameter st disc level are as folloes (mm)
L1-2 15
L2-3 16
L3-4 16
L4-5 12
L5-S1 09
There is reversal of cervical lordosis with mild P.I.V.D. at C3-C4,C4-C5,C5-C6 levels.
Kindly let me know the exact diease,i am suffering and the best treatment.
can i upload my MRI Scans if Yes how
I am having back pain for two years and now for last one month i having acute pain in legs also though thre is some relief by taeking pain killer medicine. The MRI of LUMBOSACRAL SPINE was done and the findings are:-
1.Lumbar lordosis is straightened.
2.The verteberal bodies are normal in hieght & signal intensity.No evidence of abnormal marrow signal alteration/body destruction.
3.Disc dessication is seen at L-S levels.
4.L5-S1 disc shows small annular tear in mid zone.The disc shows central protrusion,however no significant nerve root compression is seen.
5.No significant disc herniation/osteophytic compression seen at any other level in lumbar spine.
6.Bilateral ligamentum flavum hypertrophy is seen at D10-D11 level leading to canal stenosis.
No altered signal intensity is seen in the cord parenchyma at this level.
Mild ligamentum flavum hypertophy is also at D7-D8 level.
The distal cord and conus medullaris are normal.
The paraspinal soft tissues appear normal.
Sagittal canal diameter st disc level are as folloes (mm)
L1-2 15
L2-3 16
L3-4 16
L4-5 12
L5-S1 09
There is reversal of cervical lordosis with mild P.I.V.D. at C3-C4,C4-C5,C5-C6 levels.
Kindly let me know the exact diease,i am suffering and the best treatment.
can i upload my MRI Scans if Yes how
Brief Answer:
Medical treatment is needed at present.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms, MRI report and the current treatment.
In a nutshell, you have a spine disease, where there is a combination of degeneration and thickening of a ligament (a structure that joins the bones in spine).
There is bulging of discs (soft tissue between bones of spine) at multiple levels in neck as well as lower back, which are mild, and there is mild pinching of nerves at those levels.
Based on the MRI report, medical treatment is sufficient for you. You are already on correct medications such as pregabalin and methylcobalamin tablets.
In addition, you should also undergo physiotherapy with IFT/ultrasound and back extension exercises.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog:XXXXXXX
Medical treatment is needed at present.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms, MRI report and the current treatment.
In a nutshell, you have a spine disease, where there is a combination of degeneration and thickening of a ligament (a structure that joins the bones in spine).
There is bulging of discs (soft tissue between bones of spine) at multiple levels in neck as well as lower back, which are mild, and there is mild pinching of nerves at those levels.
Based on the MRI report, medical treatment is sufficient for you. You are already on correct medications such as pregabalin and methylcobalamin tablets.
In addition, you should also undergo physiotherapy with IFT/ultrasound and back extension exercises.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog:XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir
Thanku Very Much for your valuable reply.
Sir i request youself to answer me in a VERY staightway, the concered spine surgeon has advised me only spine surgery for the problem i discuseed with u.
Is the problem is cureable with medicine also.Also advised me precautions i must take, can any other medicine be taken besides list below
My detailed medicine i am taking is as under-
1.PREGACIP M (CIPLA) TWICE A DAY
2.MOBISWIFT -METAXALONE AND DICLOFENAC (RANBXY)-TWICE A DAY
3.MEDROL 16MG (METHYLTREDNISOLONE) RX ONCE A DAY
4.CHEKDAK D (ONCE A WEEK FOR 4 WEEKS)
5.ALTOLE D (EMPTY STOMAC)
6.DOLONEX DT (ONCE A DAY)
PLEASE PLEASE ADVISED IF PROBLEM IS CURABLE WITH MEDICINE ONLY
THANKS
Thanku Very Much for your valuable reply.
Sir i request youself to answer me in a VERY staightway, the concered spine surgeon has advised me only spine surgery for the problem i discuseed with u.
Is the problem is cureable with medicine also.Also advised me precautions i must take, can any other medicine be taken besides list below
My detailed medicine i am taking is as under-
1.PREGACIP M (CIPLA) TWICE A DAY
2.MOBISWIFT -METAXALONE AND DICLOFENAC (RANBXY)-TWICE A DAY
3.MEDROL 16MG (METHYLTREDNISOLONE) RX ONCE A DAY
4.CHEKDAK D (ONCE A WEEK FOR 4 WEEKS)
5.ALTOLE D (EMPTY STOMAC)
6.DOLONEX DT (ONCE A DAY)
PLEASE PLEASE ADVISED IF PROBLEM IS CURABLE WITH MEDICINE ONLY
THANKS
Brief Answer:
90% of cases improve without surgery.
Detailed Answer:
Thank you for getting back.
I can understand your concern, however, I would like to reassure you that 90% of patients with similar problems get better without surgery (with medications and physiotherapy). He is on correct medicines.
He should also continue physiotherapy.
He should avoid lifting heavy objects and should also avoid forward bending.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
90% of cases improve without surgery.
Detailed Answer:
Thank you for getting back.
I can understand your concern, however, I would like to reassure you that 90% of patients with similar problems get better without surgery (with medications and physiotherapy). He is on correct medicines.
He should also continue physiotherapy.
He should avoid lifting heavy objects and should also avoid forward bending.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir
Some part of the MRI Report was missing when i previously asked u,
the last two lines were missing now i am uploading scanned copy my MRI report
please review and if any suggestion please let me know.
Sir is Medrol 16mg (Steriod) have any negative side effects
if yes what precautions should be taken to minimise the same.
After taking medicine for three days the colour of feet changes
and nerves can been seen there-is this worrying or it is not effect of medicine
Some part of the MRI Report was missing when i previously asked u,
the last two lines were missing now i am uploading scanned copy my MRI report
please review and if any suggestion please let me know.
Sir is Medrol 16mg (Steriod) have any negative side effects
if yes what precautions should be taken to minimise the same.
After taking medicine for three days the colour of feet changes
and nerves can been seen there-is this worrying or it is not effect of medicine
Brief Answer:
Have seen the report.
Detailed Answer:
Thank you for getting back.
I have seen the last two lines of the report.
The current treatment you are taking is fine.
Medrol is a steroid, and if it is taken for a short time period (3-4 weeks), there are no significant side effects.
Change in feet colour and nerves being seen is not worrisome.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Have seen the report.
Detailed Answer:
Thank you for getting back.
I have seen the last two lines of the report.
The current treatment you are taking is fine.
Medrol is a steroid, and if it is taken for a short time period (3-4 weeks), there are no significant side effects.
Change in feet colour and nerves being seen is not worrisome.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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