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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Right Posterolateral Disc Protrusion And Degenerative Spinal Cord?

hi this is my mri report please tell me what can i do i am 62 years old Evidence of previous operation (laminectomy) is noted. Right posterolateral disc protrusion is noted at L3-4 with pressure on the coresponding nerve root. Degenerative spinal canal is noted also at L4-5 Normal lower dorsal spinal cord. No SOL seen. Normal vertebral alignment and signal intensity.
Sat, 3 Sep 2016
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Neurologist, Surgical 's  Response
Hi,As you are having right posterolateral disc protrusion with evidence of old laminectomy in your MRI , I would examine you for deficits and SLR and correlate with symptoms.

If you are not having any symptoms , then back exercises are advised.
If you are having symptoms and SLR is positive with deficits present , then medical management with steroids is started .
If no relief then back exercises with epidural steroids .
Surgery will be the last option. Thanks
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How To Treat Right Posterolateral Disc Protrusion And Degenerative Spinal Cord?

Hi,As you are having right posterolateral disc protrusion with evidence of old laminectomy in your MRI , I would examine you for deficits and SLR and correlate with symptoms. If you are not having any symptoms , then back exercises are advised. If you are having symptoms and SLR is positive with deficits present , then medical management with steroids is started . If no relief then back exercises with epidural steroids . Surgery will be the last option. Thanks