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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These MRI Findings Indicate?

I need advise please. I had an MRI 3 years ago with the below findings. Until recently, very manageable. I have however over the past 2 weeks starting experiencing major lower back ache which affects my hips as well. L3/L4 disc level      Facet joint effusion. Mild displacement of the posterolateral thecal sac due to                moderate flavum hypertrophy. Further mild displacement of the ventral thecal sac           due to a broad-based annular bulge. No critical reduction in central canal calibre .           No lateral recess or foraminal compromise nor foraminal nerve root                     attenuation noted. 3.     L4/L5 disc level      Facet joint effusion.      Moderate flavum hypertrophy results in mild displacement of the posterolateral                thecal sac. No central canal stenosis.      No complicating disc herniation noted. 4.     L5/S1 disc level      Early disc dehydration. No complicating disc protrusion. No marked facet joint                arthrosis. No central canal or foraminal compromise noted. 5.     The rest of the lumbar disc spaces otherwise preserved apart from early disc                dehydration.      Uncomplicated L1 vertebral body haemangioma.
Tue, 30 Mar 2021
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General & Family Physician 's  Response
Hi,

The MRI indicates few degenerative changes in the joints of your spine. This is the cause for your pain in lower back. There is no apparent disc prolapse (present between two spinal vertebrae) and there is no nerve compression over the nerves exiting from the spine which usually is seen in disc prolapse.

You also have a hemangioma (its a benign blood vessel tumor which usually doesn't cause symptoms however depending upon the location and size it may cause pain and other symptoms which doesn't seem to be the case as per your MRI). It can be managed surgically however it doesn't need any correction in your case in my opinion. Your condition may be managed conservatively with exercises and physiotherapy and there is no need for surgery as of now in my opinion.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Anoop Kumar, General & Family Physician
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What Do These MRI Findings Indicate?

Hi, The MRI indicates few degenerative changes in the joints of your spine. This is the cause for your pain in lower back. There is no apparent disc prolapse (present between two spinal vertebrae) and there is no nerve compression over the nerves exiting from the spine which usually is seen in disc prolapse. You also have a hemangioma (its a benign blood vessel tumor which usually doesn t cause symptoms however depending upon the location and size it may cause pain and other symptoms which doesn t seem to be the case as per your MRI). It can be managed surgically however it doesn t need any correction in your case in my opinion. Your condition may be managed conservatively with exercises and physiotherapy and there is no need for surgery as of now in my opinion. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Anoop Kumar, General & Family Physician