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What Does My Spinal Examination Result Suggestive Of?
Hi doc.. I need a sugestion for this ... Difuse disc bulge along with right central and paracentral disc extrusion with inferior migration noted at L4 -L5 level causing compression over cauda equina nerve roots and impingement over the traversing nerve root at that level . Broad based central disc protrusion noted at L5 -S1 level causing effacement pf ventral thecal sac . Mild ligamentum falvum hypertrpy noted L3- L4 and L4- L5 This is my report ... whether i need conservative treatment with physio Or should i go for surgery .. If conservative treatment what should i take I dont want to go for surgery whether it causes any problem ..cant i get cure by conservative and physio.. ?!
Mon, 20 Jan 2020
Hello,
Your results show that you have significant disc disease that is impinging upon nerve roots. It is not possible to say whether or not you need surgery without knowing what sort of symptoms you have. For example, if you have weakness or numbness because the nerve roots are compressed, it is unlikely that conservative treatment like physical therapy will take care of this. if you have no nerve damage symptoms then a few months of rehabilitation treatment could be tried. You do not want to avoid surgery if there is a chance of permanent nerve damage. It would be best to talk to a neurosurgeon about the best options.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Kathy Robinson, General & Family Physician
Your results show that you have significant disc disease that is impinging upon nerve roots. It is not possible to say whether or not you need surgery without knowing what sort of symptoms you have. For example, if you have weakness or numbness because the nerve roots are compressed, it is unlikely that conservative treatment like physical therapy will take care of this. if you have no nerve damage symptoms then a few months of rehabilitation treatment could be tried. You do not want to avoid surgery if there is a chance of permanent nerve damage. It would be best to talk to a neurosurgeon about the best options.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Kathy Robinson, General & Family Physician
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