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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mild Posterior Bulge Indenting Thecal Sac, Mild Scoliosis Of Lumbar Spine. What Precautions To Take?

l2-l3 disc reveals mild posterior bulge indenting thecal sac . L4-l5 disc reveals right paracentral and right foraminal protrusion indenting right L4 and both l5 nerve roots. l5-s1 disc reveals mild posterior bulge indenting thecal sac.. mild scoliosis of the lumbar spine with convexity to left. marginal osteophyes at multiple levels. what precaution i take
Mon, 19 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

You have been suffering from PIVD(Prolapse InterVertebral Disc) at multiple levels with mild scoliosis and Osteophyte formation.

Hope you have already done MRI and confirmed all the above.

The following preventative steps can be undertaken ,

1)Absolute Bed Rest for 08 weeks on a Hard Bed without any cushions.

2)Lumbosacral Belt or Support with correct measurements from an Orthopedic Vendor.

3)Regular Physiotherapy such as SWD and Traction for 30 minutes twice a day.

4)Use of a Western Toilet and avoiding Squatting in an Indian Toilet.

5)Avoid bending abruptly and avoid lifting of any weight.

In addition to the above consult a Spinal Surgeon for ,

A)Opioid Analgesic and muscular relaxant.

B)Determine whether you can be posted for an endoscopic minimally invasive discectomy procedure.

C)Whether scoliosis can also be corrected at the same time.

Wishing you a speedy recovery.

Best Regards.,

Dr Lt Cdr ASN Bhushan.
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Mild Posterior Bulge Indenting Thecal Sac, Mild Scoliosis Of Lumbar Spine. What Precautions To Take?

Dear Concerned., Thanks for writing to us. You have been suffering from PIVD(Prolapse InterVertebral Disc) at multiple levels with mild scoliosis and Osteophyte formation. Hope you have already done MRI and confirmed all the above. The following preventative steps can be undertaken , 1)Absolute Bed Rest for 08 weeks on a Hard Bed without any cushions. 2)Lumbosacral Belt or Support with correct measurements from an Orthopedic Vendor. 3)Regular Physiotherapy such as SWD and Traction for 30 minutes twice a day. 4)Use of a Western Toilet and avoiding Squatting in an Indian Toilet. 5)Avoid bending abruptly and avoid lifting of any weight. In addition to the above consult a Spinal Surgeon for , A)Opioid Analgesic and muscular relaxant. B)Determine whether you can be posted for an endoscopic minimally invasive discectomy procedure. C)Whether scoliosis can also be corrected at the same time. Wishing you a speedy recovery. Best Regards., Dr Lt Cdr ASN Bhushan.