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What are the findings from the MRI report of lumbar spine?

Nov 2013
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Practicing since : 1994
Answered : 5287 Questions
L 4/5 central disc extrusion with early inferior migration and thecal sac compression/caudaequina nerve root impingement. L5/s1 large extruded disc with central , left paracentral thecal sac and lateral neural foraminal, cauda equina nerve root impingement
Posted Sat, 18 Jan 2014 in Brain and Spine
Answered by Dr. Sudhir Kumar 5 hours later
Brief Answer: My reply is below. Detailed Answer: Hi, Thank you for posting your query and informing the MRI report of the lumbar spine. This report shows disc bulging at two levels in the lower back (lumbar region) with pinching of the nerves at those levels. The symptoms due to these abnormalities may include back pain, pain in the legs, tingling, numbness or weakness in the legs, etc. Initial treatment would consist of medications such as pregabalin or gabapentin capsules, and physiotherapy. If there is no improvement, epidural injection in the low back may be given. In about 10% of cases, when there is no improvement with the above treatments, surgery may be needed. 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) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: My BLOG:
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Follow-up: What are the findings from the MRI report of lumbar spine? 1 hour later
Dear sir, there is no improvement in the situation with medicine.Do we have to go for surgery?
Answered by Dr. Sudhir Kumar 22 minutes later
Brief Answer: My reply is below. Detailed Answer: If there is no improvement with medicines, and there is leg pain, then, epidural injections can be considered. If still there is no improvement, then, Surgery may be considered. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
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