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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Showing Mild Facet Flaval Hypertrophy With No Transversing Root Compression, Disc Bulge. Have Back Pain. Whom Should I Consult?

I had an mri in feb which showed at L3/4 mild flacet flaval hypertrophy with no traversing or exit root compression and at L4/5 moderate facet flaval hypertrophy with a shallow, broad based disc bulge anteriorly and little narrowing of the left lateral recess with slight displacement of the traversing L5 root but no convincing compression. My doctor sent me for MRI after having back pain for over 6 months. I am presently having physio and am being referred to a pain clinic but should I be seeing a specialist?
Thanks
Thu, 30 May 2013
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Orthopaedic Surgeon 's  Response
hallo dear friend ,thanks for writing to HCM
i have studied your case
what is your age?

this is you first episode or repeatedly having same problem
is there any weakness in your lower limb or upper limb
you need methylcobalamine , muscle relaxant with analgesic

take rest , , hot or cold fomentation
avoid lifting weights
sit with taking support to your back
continue spine extension exersizes
physiotherapy - SWD ,IFT WILL HELP
if pain doesnt relieve then you need spinal decompression surgery
for lumbar vertebrae ,
for further query contact drvaibhavg@yahoo.com
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Orthopaedic Surgeon Dr. Mukesh Tiwari's  Response
Hello,
Welcome at HCM.

I have read your query.

It looks from your details that you are having back pain with facet arthropathy. The facet arthropathy is degenerative disease of joint between the vertebra.This is main cause for pain at your back.This is generally there due to continuous abnormal posture,excessive strain on your back,deficiency of some dietary factors & various others.

You should do following to have relief in this-

-Avoid sitting for long time in abnormal posture like bending position on computer.

-Start doing exercises for strengthening of muscles of back ,please look at following-

http://orthoperson.blogspot.in/

-Do warm fomentation over back with help of warm water bag.

-Take some supplements like glucosamine & chondroitin sulfate.

Hope this all will help you.

With best wishes.
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MRI Showing Mild Facet Flaval Hypertrophy With No Transversing Root Compression, Disc Bulge. Have Back Pain. Whom Should I Consult?

hallo dear friend ,thanks for writing to HCM i have studied your case what is your age? this is you first episode or repeatedly having same problem is there any weakness in your lower limb or upper limb you need methylcobalamine , muscle relaxant with analgesic take rest , , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exersizes physiotherapy - SWD ,IFT WILL HELP if pain doesnt relieve then you need spinal decompression surgery for lumbar vertebrae , for further query contact drvaibhavg@yahoo.com