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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ligamentum Flavum Hypertrophy And Facet Arthropathy

I had surgery on my lower back 1 year ago, my MRI Report is saying AT L2-3, there is redemonstration of mild ligamentum flavum hypertrophy and facet arthropathy. The canal and neuroforamina are patent. At L3-4, there is mild facet arthropathy, the canal and neuroforamina are patent. At L4-5, there is disc desiccation. There is redemonstration of a disc bulge with facet arthropathy resulting in slight flattening of the ventral tecal sac without central canal stenosis. There is mild left sided neuroforaminal narrowing. The overall appearance is unchanged. At L5-S1, there is interval postsurgical change with a right laminotomy defect. There is a broad-based right foraminal disc protrusion results in mild right sided neuroforaminal norrowing. No significant central canal stenosis. Will I need surgery again?
Mon, 20 Mar 2017
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Physical Therapist or Physiotherapist,  's  Response
Hi...

If I were you then I would definitely like to stabilise my spine with core stability and glute stability exercises..progressive increase the load and work for strength as well. .
You need lot of strength and stability as the changes noted in your MRI is attributed to constant loading in those places....
Until you get good support and stability for your spine..which you will be getting when you start to work on core and glute stability... I recommend you to avoid any forward bending activities...lifting weights as these might irritate the structures and cause discomfort and pain...
Initially for core you can start with Dead bugs...Hundred...Side plank...spine extension...Superman reach...
Fir glute stability... clamshell...Bridging....Side keg lifts..Step ups...etc...
Don't hold your breath while you do these exercises...whenever you happen to lift or squeeze breath out..

Thesr exercises can ve done initially fir two weeks and then progress....Rehab to be done atleast for six weeks followed by a good weight training program...

Hope this is helpful for you
Revert back in case you need any further clarification....
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Suggest Treatment For Ligamentum Flavum Hypertrophy And Facet Arthropathy

Hi... If I were you then I would definitely like to stabilise my spine with core stability and glute stability exercises..progressive increase the load and work for strength as well. . You need lot of strength and stability as the changes noted in your MRI is attributed to constant loading in those places.... Until you get good support and stability for your spine..which you will be getting when you start to work on core and glute stability... I recommend you to avoid any forward bending activities...lifting weights as these might irritate the structures and cause discomfort and pain... Initially for core you can start with Dead bugs...Hundred...Side plank...spine extension...Superman reach... Fir glute stability... clamshell...Bridging....Side keg lifts..Step ups...etc... Don t hold your breath while you do these exercises...whenever you happen to lift or squeeze breath out.. Thesr exercises can ve done initially fir two weeks and then progress....Rehab to be done atleast for six weeks followed by a good weight training program... Hope this is helpful for you Revert back in case you need any further clarification....