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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Diffuse Disc Bulge, Anterior Thecal Sac Indentation And Soft Tissue Edema. What Is The Treatment?

Got an MRI with the ff impression: Diffuse disc bulges at the level of L3/L4 down to L5/S1, resulting to anterior thecal sac indentation and varying degrees of bilateral neural foraminal narrowing Right paracentral annular tear L5/S1 Minimal soft tissue edema , right gluteal region Any idea what the next steps are? My aunt is in the Philippines and I really don t trust a lot of people there...thank you!
Thu, 28 Feb 2013
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Neurologist,  's  Response
Hello,

Thanks for the query,

i will tell you that the MRI findings need to be correlated with clinical data.

Further one must note the clinical context in which the MRI was done. I feel that it was done for back and/or leg pain in your case.

If you have clinical signs of nerve compression, then the options will be to go for surgical treatment. If there are no clinical signs of nerve damage, then conservative management with either Gabapentine, pragabaline and physiotherapy will suffice.

Please donot worry about the MRI findings. I suggest you to get clinically evaluated by a neurologist.

Hope this clarifies your query

Best wishes
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MRI Shows Diffuse Disc Bulge, Anterior Thecal Sac Indentation And Soft Tissue Edema. What Is The Treatment?

Hello, Thanks for the query, i will tell you that the MRI findings need to be correlated with clinical data. Further one must note the clinical context in which the MRI was done. I feel that it was done for back and/or leg pain in your case. If you have clinical signs of nerve compression, then the options will be to go for surgical treatment. If there are no clinical signs of nerve damage, then conservative management with either Gabapentine, pragabaline and physiotherapy will suffice. Please donot worry about the MRI findings. I suggest you to get clinically evaluated by a neurologist. Hope this clarifies your query Best wishes