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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Any Online Doctor Help Me With The Following Results?

impression:

The most significant feature of note appears to lie at L4/5 where there is a mild diffuse disc bulge identing the anterior aspect of the thecal sac and resulting in a degree of underlying canal narrowing. At the other levels the discs appeared normal and the.bony canal was not comprimised. The vertebr bodies and vertebral arches are intact. Apart from some.minor degenerative change, no other feature of note was demonstrated.

i was wondering if you could define this meaning to my understanding and to also please tell me what i should do?
Tue, 8 Apr 2014
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Radiologist 's  Response
Hello
Thanks for writing to us

According to MRI report you have degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

1.At L4-5 level,there is mild diffuse disc bulge and it is indenting anterior aspect of the thecal sac resulting in lateral neural canal narrowing.

2.At the other levels,findings are normal.

Treatment for degenerative lumbar disease includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.

Take Care
Dr.Indu Bhushan
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Can Any Online Doctor Help Me With The Following Results?

Hello Thanks for writing to us According to MRI report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L4-5 level,there is mild diffuse disc bulge and it is indenting anterior aspect of the thecal sac resulting in lateral neural canal narrowing. 2.At the other levels,findings are normal. Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan