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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Spine, MRI Report Shows Lumbar Lordosis, Disc Bulge, Primary Canal Stenosis

sir, i am sanjay Age 27M at delhi,i have pain in spin L/S so doctor advice me that MRI test L/S spin than tested my MRI so report is Lumbar lordosis is straightened with a transitional vertebra at S1 vertebral bodies are normal in height, intensity and alignment. Early schmorl s nodes are seen at multiple levels. mild disc bulge is seen at L3/4 level indenting the thecal sac with no significant neural compression. diffuse posterior disc bulge is seen and L4/5 level indenting the thecal sac and bilateral descending L5 nerves. Mild disc bulge is seen at L5/S1 level indenting the thecal sac with no significant neural compression. Bony canal is capacious at all levels with no obviious primary canal stenosis . Distal cord, conus medullaris and filu terminale are normal in MR morphology. pre and paravertebral soft tissuse are normal.
Tue, 3 Dec 2013
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Anesthesiologist,  's  Response
hai Mr sanjay ,may i first know ur occupation pls?You mentioned u have pain in spine,but which region?cervical/thoraci/lumbar?Dont get biased by MRI reports.How significant is ur pain?Is it occuring after a days work most of the time in the evenings due to sitting long hours before the computer?Then u first need to change ur work atmosphere like sitting properly with back well supported in the chair,taking regular break of atleat 5min after an hour of work,wearing a lumbar belt when u sit or stand n remove it when u r about togo to bed,doing regular physitherapy for back strengthening exercises,n take analgesics if u have severe pain for 3-5 days along with bedrest.Are u getting pain during night ?Dontworry about the schmorls nodes n mild disc bulges on mri which have no neural compression.U mentioned that at l4/l5 there is a disc bulge with thecal sac indentation .this should be of concern.First follow the treatment which i mentioned before for 5 days n if u dont get relief kindly consult a neursurgeon once.
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Pain In Spine, MRI Report Shows Lumbar Lordosis, Disc Bulge, Primary Canal Stenosis

hai Mr sanjay ,may i first know ur occupation pls?You mentioned u have pain in spine,but which region?cervical/thoraci/lumbar?Dont get biased by MRI reports.How significant is ur pain?Is it occuring after a days work most of the time in the evenings due to sitting long hours before the computer?Then u first need to change ur work atmosphere like sitting properly with back well supported in the chair,taking regular break of atleat 5min after an hour of work,wearing a lumbar belt when u sit or stand n remove it when u r about togo to bed,doing regular physitherapy for back strengthening exercises,n take analgesics if u have severe pain for 3-5 days along with bedrest.Are u getting pain during night ?Dontworry about the schmorls nodes n mild disc bulges on mri which have no neural compression.U mentioned that at l4/l5 there is a disc bulge with thecal sac indentation .this should be of concern.First follow the treatment which i mentioned before for 5 days n if u dont get relief kindly consult a neursurgeon once.