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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could The Findings In MRI For Nerve Pull Suggest?

Doctor Iam having problem in My right leg with nurves pulling and some times blood circulation stoped. i took MRI scan :IMPRESSION MRI OF LUMBOSACRAL SPINE SHOWS 1. PRIMARY BONY CANAL STENOSIS AT L1 TO L5 LEVEL. 2. MINIMAL BULGE OF L4 – L5 DISC INDENTING THECAL SAC. 3. DIFFUSE BULGE WITH SMALL POSTERIOR RIGHT PARACENTRAL PROTRUSION IMPINGING ON RIGHT S1 ROOT. Please help me on this how i could proceed?
Mon, 7 Apr 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

According to MRI report you have degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

1.At L4-5 level,there is minimal disc bulge which is indenting thecal sac.

2.At L5-S1 level,there is diffuse disc bulge with small posterior right para central herniation and it is causing impingement on right S1 nerve roots.

3.There is primary bony canal stenosis from L1 to L5 level.

Treatment for degenerative lumbar disease 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.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.

Take Care
Dr.Indu Bhushan
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What Could The Findings In MRI For Nerve Pull Suggest?

Hello Thanks for writing to us According to MRI report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L4-5 level,there is minimal disc bulge which is indenting thecal sac. 2.At L5-S1 level,there is diffuse disc bulge with small posterior right para central herniation and it is causing impingement on right S1 nerve roots. 3.There is primary bony canal stenosis from L1 to L5 level. Treatment for degenerative lumbar disease 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. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan