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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Treatments Required After Analyzing The Report?

Treatment for L3-L4 herniation/protrusion into the Left L3 nerve foramen producing moderate to severe stenosis of the left L3 nerve foramen and disc material posteriorly displaces and probably compresses the left L3 within the neutral foramen and as the nerve exits the foramen
Wed, 18 Dec 2013
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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 prolapse at L3-4 level and herniated disc is causing moderate to severe stenosis of the left L3 neural foramen through which nerve roots exits.

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.

You should also modify your life style like don't abruptly bend forward and avoid standing for long time.Don't lift heavy objects.
Get well soon.

Take Care
Dr.Indu Bhushan
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What Are The Treatments Required After Analyzing The Report?

Hello Thanks for writing to HCM According to reports you have degenerative disc prolapse of spine in lumbar region. 1.You have disc prolapse at L3-4 level and herniated disc is causing moderate to severe stenosis of the left L3 neural foramen through which nerve roots exits. 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. You should also modify your life style like don t abruptly bend forward and avoid standing for long time.Don t lift heavy objects. Get well soon. Take Care Dr.Indu Bhushan