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What Does Anterolisthesis Of L3 And L4 And Mild Intervertebral Disc Space Narrowing Mean?

what does grade 1/2 anterolisthesis of L3 and L4 mean? Had fusion at L3, L4 and L5 in 2012? And mild straightening of lumbar spine? What does mild intervertebral disc space narrowing mean? And moderate bilateral neural foraminal narrowing? And pseudo disc bulge secondary to anterolisthesis..with moderate bilateral neural foraminal narrowing. L4-L5 diffuse disc bulges seen here which indents upon ventral aspect of thecal sac..thecal sac measures 7-9 mm in AP dimension..moderate bilateral neural foraminal narrowing here. I am having pain in hips, and lower back in SI joint and had MRI with these results. Injections have not helped, and I do not understand language of this report. Thanks very much
Mon, 27 Jan 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query and sending the MRI report.

I have read the report in detail, and would like to reassure you that there is no need to worry about them.

They mainly represent degenerative changes in the lumbar spine (lower back area). This has resulted in bulging of discs (soft tissue located between the bones of back). These bulged discs cause pinching of the nerves that emerge out at those area. This results in back and leg pain. In some cases, tingling and numbness of legs may also occur.

You would benefit from using pregabalin or gabapentin capsules.

In some cases, surgery may be needed if medicines and injections fail to relieve the pain.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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What Does Anterolisthesis Of L3 And L4 And Mild Intervertebral Disc Space Narrowing Mean?

Hi, Thank you for posting your query and sending the MRI report. I have read the report in detail, and would like to reassure you that there is no need to worry about them. They mainly represent degenerative changes in the lumbar spine (lower back area). This has resulted in bulging of discs (soft tissue located between the bones of back). These bulged discs cause pinching of the nerves that emerge out at those area. This results in back and leg pain. In some cases, tingling and numbness of legs may also occur. You would benefit from using pregabalin or gabapentin capsules. In some cases, surgery may be needed if medicines and injections fail to relieve the pain. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in