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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Lumbo-sacral Spondylotic Changes, Bilateral Foraminal Narrowing, Nerve Root Compression. Advice?

MR Imaging reveals LUMBO-SACRAL spondylotic changes with diffuse annular bulge with posterocentral annular tear L4/L5 disc causing thecal sac indentation with mild bilateral foraminal narrowing. Large central-left paracentral extrusion L5/S1 disc causing thecal sac and left S1 descending nerve root compression. Please advice.
Thu, 5 Sep 2013
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Rheumatologist 's  Response
Hi. I guess you must have done the MRI for back pain or pain radiating down your left leg if there is concordance with the MRI findings. Please get yourself checked by a spine surgeon/ neurosurgeon for any e/o neurologic compromise or neurogenic claudication in your legs. If so and you have severe symptoms, you may need surgery for the disc prolapse and nerve compression. If not then you may need rest, prevent jerky or flexion at your spine, and analgesics/ drugs to control neuropathic symptoms. Guess I have answered your question. Thank you.
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MRI Shows Lumbo-sacral Spondylotic Changes, Bilateral Foraminal Narrowing, Nerve Root Compression. Advice?

Hi. I guess you must have done the MRI for back pain or pain radiating down your left leg if there is concordance with the MRI findings. Please get yourself checked by a spine surgeon/ neurosurgeon for any e/o neurologic compromise or neurogenic claudication in your legs. If so and you have severe symptoms, you may need surgery for the disc prolapse and nerve compression. If not then you may need rest, prevent jerky or flexion at your spine, and analgesics/ drugs to control neuropathic symptoms. Guess I have answered your question. Thank you.