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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Problems Does The Scan Indicate?

SIR,I AM 27 YEARS OLD. MY PROBLEM IS L4-L5 DISC SHOWS POSTERO-LATERAL BULGE MILDLY TOWARDS LEFT SIDE PRODUCING MILD CANAL &MODERATE LEFT NEURAL FORAMINAL NARROWING. L5-S1 DISC SHOWS POSTERIOR BULGE PRODUCING MILD CANAL & MILD BILATERAL NEURAL FORAMINAL NARROWIING.
Fri, 21 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 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 postero-lateral disc bulge at L4-L5 level with mildly towards left side which is causing mild central canal stenosis and moderate left neural foramen narrowing.

2.At L5-S1 level there is posterior disc bulge causing mild central canal stenosis and mild bilateral neural foramen narrowing.

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 Problems Does The Scan Indicate?

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 postero-lateral disc bulge at L4-L5 level with mildly towards left side which is causing mild central canal stenosis and moderate left neural foramen narrowing. 2.At L5-S1 level there is posterior disc bulge causing mild central canal stenosis and mild bilateral neural foramen narrowing. 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