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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Back Pain. Test Shows Straightening Lumbar Lordosis. What To Do?

Hi, how do you do doctor, can you help me, please:
This is the diagnosis of my fiancée, who has a back pain:
1- straightening lumbar lordosis.
2-partial loss of normal hydration T 2 signal intensity of the lumbar inter vertebral discs.
3-L3-4 level showed poster lateral disc bulge abutting the thecal sac with the obliteration of anterior epidural fat of the corresponding level nerve roots.
4-L4--5 level showed eccentric poster lateral disc protrusion causing eccentric compression of the thecal sac with encroachment of the LT- sided corresponding nerve root>
5- Normal lower spinal cord.

What should She do? is her sickness dangerous?
thank you for your help.
Wed, 7 Aug 2013
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General & Family Physician 's  Response
Hi,
From report it seems that she is having osteo-artheritis of lumbo-sacral region.
She might require regular physiotherapy,short way diathermy.
Use hard bed for sleeping.
Do not lift weight.
Do not bend forward.
Go for back-extension exercise after consulting your doctor.
Take some calcium, vitamine A, D.supplements.
Give her milk.
Ok and take care.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,

These finding shows lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc..

There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.

If she does not get better with these treatment , another option is surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve her symptoms
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Have Back Pain. Test Shows Straightening Lumbar Lordosis. What To Do?

Hi, From report it seems that she is having osteo-artheritis of lumbo-sacral region. She might require regular physiotherapy,short way diathermy. Use hard bed for sleeping. Do not lift weight. Do not bend forward. Go for back-extension exercise after consulting your doctor. Take some calcium, vitamine A, D.supplements. Give her milk. Ok and take care.