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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Suggestions And Treatments Required After Analyzing The Scan Result?

I had a c-section delivered baby. and since then i have heavy pain in my back. I went for mri scan and found the following results 1. Right postero lateral disc bulge causing right neural foramina narrowing noted at l4/l5 level.2. Mild posterocentral discbulge causing thecal sac indentation noted at l5/s1 level with no foraminal narrowing. . Apart from this, i am having pain all through the day at my lower, middle back as well as neck pain. not able to sleep or do normal work . can you please suggest the right type of doctor and any recommendations or suggestions., thanks in advance.
Sat, 18 Jan 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

According to reports you have degenerative disc prolapse of spine in lumbar region.
1.You have disc bulge at L4-5 level in right postero lateral position causing narrowing of right neural foramen.

2.At L5-S1 level there is also disc bulge in posterocentral position and it is causing indentation of thecal sac.No neural foramen narrowing.

Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

Treatment for pain includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.

Take Care
Dr.Indu Bhushan
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What Are The Suggestions And Treatments Required After Analyzing The Scan Result?

Hello Thanks for writing to HCM According to reports you have degenerative disc prolapse of spine in lumbar region. 1.You have disc bulge at L4-5 level in right postero lateral position causing narrowing of right neural foramen. 2.At L5-S1 level there is also disc bulge in posterocentral position and it is causing indentation of thecal sac.No neural foramen narrowing. Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc. Treatment for pain includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan