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What Does The Following Mean?
Hello could you please tell me what the following means.The results show a right paracentral disc protusion at L4-5.There is some associated caudally migrated right paracentral extruded soft disc or material.This results in compression of the right L5 nerve as it transits the theca and enters the lateral recess
Tue, 25 Mar 2014
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.There is right para central disc herniation at L4-5 level with caudal migration and herniated disc is causing compression of right L5 nerve roots.
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
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.There is right para central disc herniation at L4-5 level with caudal migration and herniated disc is causing compression of right L5 nerve roots.
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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