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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Disc Dessication With Disc Bulge, Joint Arthropathy, Canal Stenosis. Help

Disc desiccation (dry ness due to removal of water) with diffuse annular(shaped like a ring) disc bulge(swelled),posterior(a flashy part of human body that u sit on) disc protrusion(bulge out) ,early facet(smooth surface) joint arthropathy(abnormality of joint) and ligamentum(sanayu) flavum thickening are seen at L4-5 lavel resulting in marked effacement (mitadena)of bilateral neural foramina(natural opening),bilateral lateral recesses(ghaddha) stenosis(narrowing of canal) and mild canal stenosis with com Widely Used Disc Terms. pression over thecal sac exiting nerve roots.
DISC DESICCATION WITH LEFT POSTEROLATERAL DISC PROTRUSION AT L5-S1 LEVL RESULTING IN EFFACENT OF LEFT NEURAL FORAMEN AND LEFT LATERAL RECESS STENOSIS WITH COMPRESSION OVER EXITING LEFT L5,S1 NERVE ROOTS HOWEVER CANAL DIAMENSION ARE NORMAL
Thu, 1 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for writing to us.
You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.
For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.
Meanwhile for pain control take anti-inflammatory drugs like ibuprofen.
Hope this helps you.
Wishing you good health...
Regards.
Dr Saurabh Gupta.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

All the MRI findings in the given description suggests DEGENERATIVE CHANGES in the lumbar spine.

The initial management of the problem will be as follows -

* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.

If the symptoms are not resolving with the above measures, then a surgical decompresssion may be needed.

Consult an orthopedic/spine surgeon and follow their advice.

Hope this information is helpful. Good day
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Disc Dessication With Disc Bulge, Joint Arthropathy, Canal Stenosis. Help

Hello, Thanks for writing to us. You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. Meanwhile for pain control take anti-inflammatory drugs like ibuprofen. Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta.