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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diffuse Disc Bulge.

Respected Doctors, I am giving the details of MRI report dated April 01, 2011 - (1) Clinical History : Presented with h/o backaches, radiating to RT. let. (2) Sequence planned - Sagittal SE T1, Sagittal TSE T2, Axial SE T1, Axial TSE T2 (3) MRI Lumbar spine has been performed in multiple planes by using T1 & T2 weighted sequences (4) Mild osteophytic degenerative changes noted (5) Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both newral foramina at same level (6) Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both new foramina narrowing (7) The marrow of vertebra and posterior vertebral appendages shows normal intensities (8) No e/o abnormal signal itennsities in cord. (9) The lumbar canal dismeters are L1-L2 14mm, L2-L3 14mm, L3-L4 12mm, L4-L5 08 mm, L5-S1 08mm. (10 This MR study reveals - Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both neural foramina at same level, Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both neu formation narrowing.



Sir, I am feeling numbness in left foot fingers, backache, cannot sit on chair due to pain. Please advise me treatment. Is is possible without any operation, if so how.
posted on Fri, 14 Mar 2014
Twitter Sat, 2 Aug 2014 Answered on
Twitter Mon, 4 Aug 2014 Last reviewed on
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General & Family Physician,  's  Response
welcome to Health care magic.
1.Weather operation is needed or not depending on the stage and % of herniation /bulge.
2.Initially exercises are prescribed for pain relief, if it doesn't work then operative procedure / interventional procedure is done.
3.Since disc is bulged and causing compression on the theca sac, and nerve compression - you are having numbness and pain.
4.I would recommend to have a flat bed, and exercises will gives relief.
5.If necessary your orthopaedics specialist may ask for a belt for less mobility of the spinal movements.
6. So please try all, if not then there is no option.
Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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Suggest Treatment For Diffuse Disc Bulge.

welcome to Health care magic. 1.Weather operation is needed or not depending on the stage and % of herniation /bulge. 2.Initially exercises are prescribed for pain relief, if it doesn t work then operative procedure / interventional procedure is done. 3.Since disc is bulged and causing compression on the theca sac, and nerve compression - you are having numbness and pain. 4.I would recommend to have a flat bed, and exercises will gives relief. 5.If necessary your orthopaedics specialist may ask for a belt for less mobility of the spinal movements. 6. So please try all, if not then there is no option. Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.