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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Indentation Upon The Thecal Sac Causing Stenosis Within The Central Canal And How Severe The Problem Is?

There is a large left paracentral disc extrusion measuring approximately 15mm cranial-caudial by 8mm AP by 20mm transversely. There is significant focal indentation upon the thecal sac which does cause some stenosis withinthe central canal.


What is the severity to this diagnosis and treatment?
Wed, 26 Mar 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

According to MRI report you have degenerative disc disease of spine.Region is not mentioned in the report.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

1.There is large paracentral disc herniation measuring approximately 15mm cranial-caudial, 8mm AP & 20mm in transverse diameter and herniated disc is causing significant focal indentation upon the thecal sac which is causing some stenosis within the central canal.

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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What Is The Treatment For Indentation Upon The Thecal Sac Causing Stenosis Within The Central Canal And How Severe The Problem Is?

Hello Thanks for writing to us According to MRI report you have degenerative disc disease of spine.Region is not mentioned in the report. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.There is large paracentral disc herniation measuring approximately 15mm cranial-caudial, 8mm AP & 20mm in transverse diameter and herniated disc is causing significant focal indentation upon the thecal sac which is causing some stenosis within the central canal. 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