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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Report Of Spine Signify?

This is my MRI radiology report. What does it mean? I have back pain radiating through buttocks and down right leg, chronic constipation, bladder leakage and intermittent loss of anal and urethral sensation. Multilevel dis degeneration with loss of disc height at l4/5 and l5/s1. Modic type II at l4/5 and l5/s1. Mosaic type I changed at end plate of l11. L4/5 posterior disc bulge with ligament hyper trophy causes lateral stenosis with possible impingement of l5 traversing nerve root on left side. There is canal stenosis and minor narrowing of neural. L5/s1 shallow posterior disc bulge, bilateral neural foreminal narrowing caused by discophytic protrusions. Grateful for any interpretation and advice. Thank you
Wed, 16 Mar 2016
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Psychiatrist 's  Response
Dear sir/madam,
I shall be explaining this condition to you in simplest of words. Basically, our backbone or spine has cushion like structures between the bones that act like shock-absorbers and grease between bones of the spine and help us move around and additionally also protect the nerves that exit this bony spine from friction. In your case, due to long standing strain on the back, either due to bad posture or lifting/moving heavy weights or sudden jerks and movements, these cushions have got displaced from their place. This has led to adjacent bones getting eroded, fused and corroded. the nerve exits are also compromised and nerves are getting compressed giving you all these symptoms.
Although the ultimate cure is discectomy, i.e., removal of these displaced cushions but leaving their capsule behind for the grease effect, you can definitely take some precautions to save any further damage like:
1. avoid lifting/moving heavy weights
2. avoid sudden changes in posture or jerks from spine
3. if you have to bend down, bend down at knees instead of spine
4. while getting up from bed, roll on the side and get up, instead of directly sitting upright.
5. perform light stretching exercises of the back, under supervision of a trainer and take calcium and vit.D supplements.

get well soon,
regards,
Dr. Sonia
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What Does This MRI Report Of Spine Signify?

Dear sir/madam, I shall be explaining this condition to you in simplest of words. Basically, our backbone or spine has cushion like structures between the bones that act like shock-absorbers and grease between bones of the spine and help us move around and additionally also protect the nerves that exit this bony spine from friction. In your case, due to long standing strain on the back, either due to bad posture or lifting/moving heavy weights or sudden jerks and movements, these cushions have got displaced from their place. This has led to adjacent bones getting eroded, fused and corroded. the nerve exits are also compromised and nerves are getting compressed giving you all these symptoms. Although the ultimate cure is discectomy, i.e., removal of these displaced cushions but leaving their capsule behind for the grease effect, you can definitely take some precautions to save any further damage like: 1. avoid lifting/moving heavy weights 2. avoid sudden changes in posture or jerks from spine 3. if you have to bend down, bend down at knees instead of spine 4. while getting up from bed, roll on the side and get up, instead of directly sitting upright. 5. perform light stretching exercises of the back, under supervision of a trainer and take calcium and vit.D supplements. get well soon, regards, Dr. Sonia