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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Required For Advanced Disc Height Loss At L5-S1?

I had a MRI on back. The impressions were 1. advanced disc height loss at L5-S1. 2. Circumferential disc bulge at L5-S1. 3. Approximate 2 to 3 millimeter anterior subluxation of L5 on S1. 4. Moderate spinal stenosis at L5 -S1 secondary to the above mentioned circumferential disc bulge and subluxation. Is this something that would require surgery?
Thu, 27 Nov 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.
you’re MRI says L 5 S 1 disc then Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty.

Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

I will advise to check your vit B12 and vit D3 level.
MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Take care.
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Is Surgery Required For Advanced Disc Height Loss At L5-S1?

Hello, I have studied your case. you’re MRI says L 5 S 1 disc then Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty. Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise to check your vit B12 and vit D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.