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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does It Mean By At L4-L5 There Is A Mild Diffuse Disc Bulge In A MRI Report?

I am 28 y/o female, 5'5", 115lbs. I received my MRI results today: At L5-S1 there is a mild left paracentral diffuse disc bulge with mild effacement of the thecal sac and enroachment on exiting left L5 nerve root. At L4-L5 there is a mild diffuse disc bulge. How serious is this and what does it mean?
Mon, 1 Sep 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

According to report,you are suffering from mild degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.Findings are early in your case.

1.At L5-S1 level,there is a mild left para central diffuse disc bulge and it is causing mild effacement of the thecal sac and encroachment on exiting left L5 nerve root.
3.At L4-L5 level,there is a mild diffuse disc bulge.
This is causing your symptoms.Findings are not very serious.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
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What Does It Mean By At L4-L5 There Is A Mild Diffuse Disc Bulge In A MRI Report?

Hello Thanks for writing to us According to report,you are suffering from mild degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.Findings are early in your case. 1.At L5-S1 level,there is a mild left para central diffuse disc bulge and it is causing mild effacement of the thecal sac and encroachment on exiting left L5 nerve root. 3.At L4-L5 level,there is a mild diffuse disc bulge. This is causing your symptoms.Findings are not very serious. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurologist. Get well soon. Take Care