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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Spinal MRI Report Mean?

Hi I am 35 Yrs of age and MRI shows the following Annular Disc bulge with posterior central disc extrusion of L4-5 inter vertebral disc compressing the thecal sac at the anterior middle thirds with bilateral root sleeve impingement, Please suggest remedy
Fri, 22 Aug 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

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

1.At L4-5 level,there is annular disc bulge with postero-central disc extrusion which is causing compression over thecal sac and it is also causing impingement over bilateral nerve roots.

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
Dr.Indu Bhushan
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What Does My Spinal MRI Report Mean?

Hello Thanks for writing to us According to report,you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.At L4-5 level,there is annular disc bulge with postero-central disc extrusion which is causing compression over thecal sac and it is also causing impingement over bilateral nerve roots. 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 Dr.Indu Bhushan