HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Reading From MRI: L4/5: AP Dimension Of The Thecal Sac

default
Posted on Sun, 4 Aug 2019
Question: Reading from MRI: L4/5: AP dimension of the thecal sac measure 14 mm. There is left greater than Right ligamentum flavum hypertrophy. There is inferior forominal narrowing due to disc on the right with minimal abutment of the existing right L4 nerve root. Mild compromise of the existing right L5 nerve root. Should i get an epidural injection?
doctor
Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
Epidural is beneficial as it is mild.

Detailed Answer:
Hi ma'am
Thank you for asking ask a doctor 24/7 service.

I have gone through your query with diligence. As your compromise on L5 nerve root is mild epidural will be beneficial. Benefits can last for 3 months at least.
If symptoms not improving better to go for microdiscectomy.
If you have never tried TENS (physiotherapy) then better to go for this first. If there is no improvement in this then you can think of epidural.

Let me know if anything not clear.
I am happy to help you anytime.
Thanks.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Doctor Now
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Reading From MRI: L4/5: AP Dimension Of The Thecal Sac

Brief Answer: Epidural is beneficial as it is mild. Detailed Answer: Hi ma'am Thank you for asking ask a doctor 24/7 service. I have gone through your query with diligence. As your compromise on L5 nerve root is mild epidural will be beneficial. Benefits can last for 3 months at least. If symptoms not improving better to go for microdiscectomy. If you have never tried TENS (physiotherapy) then better to go for this first. If there is no improvement in this then you can think of epidural. Let me know if anything not clear. I am happy to help you anytime. Thanks.