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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Diffuse Annular Bulge Of L4-L5 Disc Mean?

Hello Doctor My MRI report showing -- diffuse annular bulge of L4-L5 disc causing mild thecal sac indentation. And small posteriocentral disc protrusion of L2-3 disc causing mild thecal sac indentation.what does it mean?is it serious?what is the sollution?
Mon, 29 Jun 2015
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Radiologist,  's  Response
Hello

MRI findings indicate degenerative changes in lumbar spine.
Degenerative changes are age related findings.It is due to chronic stress on annulus fibrosis.

At L4-5 level,there is diffuse bulge of inter vertebral disc which is causing mild indentation over thecal sac.

At L2-3 level, there is small herniation of intervertebral disc in posterocentral direction which is causing mild indentation over thecal sac.

Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants.
Surgery should be the last option.

Since you have mild findings,so you may only need conservative treatment.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does Diffuse Annular Bulge Of L4-L5 Disc Mean?

Hello MRI findings indicate degenerative changes in lumbar spine. Degenerative changes are age related findings.It is due to chronic stress on annulus fibrosis. At L4-5 level,there is diffuse bulge of inter vertebral disc which is causing mild indentation over thecal sac. At L2-3 level, there is small herniation of intervertebral disc in posterocentral direction which is causing mild indentation over thecal sac. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants. Surgery should be the last option. Since you have mild findings,so you may only need conservative treatment. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Dr.Indu Bhushan