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Had MRI for lumbo-sacral spine. What are the findings?

Nov 2013
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Answered by

Practicing since : 1994
Answered : 5293 Questions
MRI - Postoperative changes @L4-5, Decompressive laminectomy, enchroachment on exiting neural foramina bilaterly @ L4-5 level - predominately @ what appears to be postoperative scaring at L4-5, Nodual enlargement on L4 root as it exits within the foramen on the right, desiccation @ L3-4 without central canal stenosis and L4-5 minimal bulging of disc.
Posted Mon, 22 Jul 2013 in Brain and Spine
Answered by Dr. Sudhir Kumar 46 minutes later
Thank you for posting your query.

I have noted the findings of your MRI lumbo-sacral spine. I should tell you here that the treatment depends on symptoms and findings of clinical examination.
As per the MRI, there are disc bulges at two levels in the lower back, with pinching of nerves at those levels. At one of those levels, surgery has been performed.
These findings are mild to moderate and not severe.

If you can get back with your current symptoms, I may be able to guide you with treatment suggestions.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,

Above answer was peer-reviewed by
Follow-up: Had MRI for lumbo-sacral spine. What are the findings? 1 hour later
Symptoms - 6 months - sever lower/mid back pain, buttock (sciatica) pain, hip side, front and side of thigh (and sometimes to outer calf). Slow in initiating urine flow with stop and start flow. Onset of pain with standing or walking 90% of time - relief with sitting. Onset is unpredictable - 5 out of 7 day average - good or bad days.
Answered by Dr. Sudhir Kumar 3 minutes later
Thank you for getting back with more details.
You would benefit from medications such as pregabalin or gabapentin capsules. These medications help in relieving nerve-related pain, especially sciatica and thigh pain would be better.
In addition, you would also benefit from physiotherapy. There are pain relieving techniques such as ultrasound, IFT and traction. The physiotherapist would guide you in choosing the best options for you.
Once the back pain is better, you would also be taught back extension exercises, which can be done at home.
How much did you benefit from the surgery?

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
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