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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Scan To Spinal Area, Degenerative Changes, Narrowing Disc Space, Root Compression. Why Is The Pain Intensifying?

I have received results from a recent MRI scan to my spinal area, It demonstrates degenerative changes at L2-3 and at L4-5 where is narrowing of the disc space. At L2-3 there is a small bulge which is indenting into the spinal, but not causing any significant transiting L3 or exiting L2 root compression. At L4-5 there is again a small bulge which is neither catching the exiting L4 nor transiting L5 root. I do not totally understand exactly what this means, so could please be a bit more specific. I have suffered with this complaint for 10 Years and it is becomming more and more unbearingly painful it is also limiting my walking distance to the extent that I fear both walking out alone and also paralysis at a later stage, Is there any possibility of surgery to remedy this complaint.
Wed, 7 Aug 2013
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Orthopaedic Surgeon 's  Response
Hello,
welcome at HCM.
I have read details of your question with diligence.
At present there is compression of your thecal sac but it is not significant.There is also no compression over nerve root.But it looks that all these changes does lead to inflammatory changes at spinal cord.This is the reason why you are having pain at your lower limb.aIn such cases there is a good role of phsiotherapy.Your doctor may teach you some lumber strengthening exercises.These will be helpful for you.You may also ask for steroid injection therapy in spine.

Hope all this will help you.

With best wishes.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Your MRI finding suggestuve of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.
Intensifying pain might be due to more pressure over nerve roots by bulging disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you dont get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms.

Hope this helps you. You can cosult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132
Regards.
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MRI Scan To Spinal Area, Degenerative Changes, Narrowing Disc Space, Root Compression. Why Is The Pain Intensifying?

Hello, welcome at HCM. I have read details of your question with diligence. At present there is compression of your thecal sac but it is not significant.There is also no compression over nerve root.But it looks that all these changes does lead to inflammatory changes at spinal cord.This is the reason why you are having pain at your lower limb.aIn such cases there is a good role of phsiotherapy.Your doctor may teach you some lumber strengthening exercises.These will be helpful for you.You may also ask for steroid injection therapy in spine. Hope all this will help you. With best wishes.