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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Done. How Much Pain Will This Condition Be Causing?

My daughter, age 39, just had an MRI with the following "impression": L4-L5: Annular fissure with a diffusely bulging disc that effaces the ventral thecal sac, but does not result in significant central canal or neural foraminal stenosis. Before taking her to the pain clinic, I just would like to know "exactly" how much pain this could be causing as I don't want it exaggerated to the physician. Thank you for your hopefully "frank" response.
Sat, 9 Nov 2013
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

According to reports your have degenerative disease of spine and

1. There is annular fissure at L4-5 level with diffusely bulged disc which is effcaing thecal sac.It is not causing central canal or neural formanen stenosis means nerve roots are not in compromised state.
Pain is subjective complain and it should be taken seriously.
Treatment includes physiotherapy or surgical.
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 available for pain relief.
Get well soon.

Take Care
Dr.Indu Bhushan
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MRI Done. How Much Pain Will This Condition Be Causing?

Hello Thanks for writing to HCM According to reports your have degenerative disease of spine and 1. There is annular fissure at L4-5 level with diffusely bulged disc which is effcaing thecal sac.It is not causing central canal or neural formanen stenosis means nerve roots are not in compromised state. Pain is subjective complain and it should be taken seriously. Treatment includes physiotherapy or surgical. 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 available for pain relief. Get well soon. Take Care Dr.Indu Bhushan