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Having Back Pain. MRI Done. No Bone Marrow Edema Present, No Spinal Stenosis. Safe Remedy?

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Posted on Fri, 10 May 2013
Question: I am 49,5ft 7inchs I have been having lots of pain in my lower back, had a MRI the results are vertebral body and heights are normal. There is a mild area of increased signal noted along the posterior margin of L3 likely representing a hemangioma. No bone marrow edema is present. There is some very subtle loss signal within L4,L5 disc. Mild broad-based disc bulge is present here, but no definitive nerve root compromise or spinal stenosis identified. No foraminal norrowing is noted. Very mild degenerative disc changes at L4-L5 with broad-based disc bulge present. No spinal stenosis, foraminal narrowing, or nerve root compromise is identified on this study
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Answered by Dr. Rahul D Chaudhari (3 hours later)
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Degenerative changes at L4-5 level is most likely reason for the back pain. Hemangioma is always an incidental finding. Initially pain medicine and physical therapy such as inferential therapy helps to relieve the pain. In long run regular back muscle stretching and exercise will keep you pain free.
If the above treatment fails and you have persistent disabling back pain then we may consider invasive options such as facet block and discography to localise the pain generator and treat accordingly. Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Rahul D Chaudhari

Spine Surgeon

Practicing since :2002

Answered : 322 Questions

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Having Back Pain. MRI Done. No Bone Marrow Edema Present, No Spinal Stenosis. Safe Remedy?

Welcome to XXXXXXX
Degenerative changes at L4-5 level is most likely reason for the back pain. Hemangioma is always an incidental finding. Initially pain medicine and physical therapy such as inferential therapy helps to relieve the pain. In long run regular back muscle stretching and exercise will keep you pain free.
If the above treatment fails and you have persistent disabling back pain then we may consider invasive options such as facet block and discography to localise the pain generator and treat accordingly. Thanks.