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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does MRI Report Mean?

Respected Doctor Saheb, Impression of my MRI states Disc desiccation at L4-L5 and L5-S1 with disc bulge at L5-S1 IV disc indenting the thecal sac with narrowing of neural foramina and compressing the nerve roots. Doctor Saheb, I wouold be grateful if your Good Self could kindly enlighten me on the causes of why it has happened to me, medicines, intake of food and other precautions required to correct the above. Anxiously waiting for the reply.\ Respectful Regards Amit
Thu, 10 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 L5-S1 level there is disc bulge which is indenting the thecal sac with narrowing of neural foramen and compression of nerve roots.

2.There are also desiccation of disc (loss of water) at L4-L5 and L5-S1 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 Does MRI Report Mean?

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 L5-S1 level there is disc bulge which is indenting the thecal sac with narrowing of neural foramen and compression of nerve roots. 2.There are also desiccation of disc (loss of water) at L4-L5 and L5-S1 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