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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does At L5-S1, There Is A Paracentral Disc Protrusion Mean?

Exam demomstrates anatomic lumbar spine bony alignment. There is no pathological bone marrow signal. There is degenerative disc and desiccation and degenerative loss of disc height at L5-S1. The conus terminates appropriately at L2 vertebral body level. L1-2 disc is normal L2-3 disc is normal L3-4 disc is normal L4-5 disc is normal At L5-S1, there is a paracentral disc protrusion with associated annular disc tear. There is slight flattening of the ventral sac at this disc level. Central canal neural foramen, and lateral recesses are patent. Impression: 1. Left paracentral disc protrusion associated annular disc tear at L5-S1 mild flattening of the central thecal sac. 2. Otherwise, negative exam.
Mon, 22 Dec 2014
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General & Family Physician 's  Response
Welcome to health care magic.

1.There is a disc between the vertebral bodies which are normally seen well hydrated.
2.Due to the age related / hard working nature / repeated movements due to work related - they loose hydration and cause narrowing and bulging.
3.In your case at the level of L5-S1 the disc is seen protruded with peripheral tear.
4.That bulge is seen causing the pressure effect on the thecal sac where spinal chord lies and ends at L1-2 level.
5.In this case exercise is treatment of choice, followed by physiotherapy if required. Only in advanced stage one needs operative / interventional treatment.

Good luck.
Hope i have answered your query,
any thing to ask ? do not hesitate to ask.
http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888
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Radiologist Dr. Indu Kumar's  Response
Hello

Report suggests mild degenerative disc disease of lumbo-scaral spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.At L5-S1 level,there is paracentral disc herniation with annular disc tear.There is also slight flattening of the ventral sac due to herniated disc.
Other findings are normal.There is no central canal or neural foramen narrowing.

Findings at other level are normal.

Majority of the cases of degenerative spine disease are benefited by physiotherapy.Since you have mild findings,so physiotherapy should be tried first.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does At L5-S1, There Is A Paracentral Disc Protrusion Mean?

Welcome to health care magic. 1.There is a disc between the vertebral bodies which are normally seen well hydrated. 2.Due to the age related / hard working nature / repeated movements due to work related - they loose hydration and cause narrowing and bulging. 3.In your case at the level of L5-S1 the disc is seen protruded with peripheral tear. 4.That bulge is seen causing the pressure effect on the thecal sac where spinal chord lies and ends at L1-2 level. 5.In this case exercise is treatment of choice, followed by physiotherapy if required. Only in advanced stage one needs operative / interventional treatment. Good luck. Hope i have answered your query, any thing to ask ? do not hesitate to ask. http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888