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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Recommended After Analyzing MRI Report?

Hi, Thank you. My mother just had an mri of the lumbar spine. The findings were "Anterior wedge compression fracture of the L1 vertebral body with bone brusing". This was a result of a rear-end auto collision. What would the treatment be and what would the prognosis be for a 75 y/o woman? Thank you.
Wed, 21 May 2014
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Radiologist 's  Response
Hi,
Thanks for writing in.

The L 1 vertebra had a kind of collapse due to the sudden forces during the collision. There is also pre existing degenerative changes in the lumbar spine. If she does not have any problem with the spinal canal or spinal nerve roots then she may just need few days rest. She can be on ointments containing pain relievers and muscle relaxants.

If there is co existing nerve pain then medications given for neurogenic pain may be given and it works in most patients. Without complications she should be back to resuming normal daily activities in 15 days though some amount of lower back pain may still be present.
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What Treatment Is Recommended After Analyzing MRI Report?

Hi, Thanks for writing in. The L 1 vertebra had a kind of collapse due to the sudden forces during the collision. There is also pre existing degenerative changes in the lumbar spine. If she does not have any problem with the spinal canal or spinal nerve roots then she may just need few days rest. She can be on ointments containing pain relievers and muscle relaxants. If there is co existing nerve pain then medications given for neurogenic pain may be given and it works in most patients. Without complications she should be back to resuming normal daily activities in 15 days though some amount of lower back pain may still be present.