What does " Central and slightly left sided localized disc protrusion.." mean?
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MRI showed the following. I am in an immense amount of pain and have been referred to a Neurosurgeon. Could you please explain what all this means? Lumbar: 1. Central and slightly left sided localized disc protrusion L5-S1 with diffuse bulging of the disc. Anterior impression on the thecal sac. 2. Localized central disc protrusion at L4-5 with diffuse bulging of the disc. 3. Mild bulging of the disc at L4-5. Thoracic: 1. Bulging disc at T4-5 and T9-10 with osteophyte formations. Cervical: 1. C5-6 mild bulging of the disc and osteophyte formation with a mild degree of bilateral neural foranimal encroachment related to lateral bulging of the disc and hypertrophic facet joint change. 2. Minimal bulging at C3-4, C4-5 and C6-7. 3. There is loss of lordosis suggesting muscle spasm.
Posted Sun, 23 Feb 2014 in General Health
Answered by Dr. Indu Kumar 3 hours later
Brief Answer: Please find detail answer below. Detailed Answer: Hello XXXX Thanks for writing to us According to history you have degenerative disc prolapse of spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. In lumbar region 1.There is diffuse disc prolapse at L5-S1 level with localized protrusion of disc in central region and slightly left side and it is causing impression on the thecal sac anteriorly. 2.At L4-5 level there is diffuse bulge disc with localized central disc herniation. 3. There is mild bulging of the disc at L4-5 level. In thoracic region 1.There is bulged disc at T4-5 and T9-10 level with osteophyte formations.Osteophytes are formed at margins due to chronic stress on annulus fibrosis. In Cervical region 1.At C5-6 level there is mild bulging of the disc and osteophyte formation with a mild degree of bilateral neural foramen encroachment and it is due to lateral bulging of the disc and hypertrophic facet joint changes. 2. There is minimal disc bulge at C3-4, C4-5 and C6-7 level. 3. There is also loss of lordosis suggesting muscle spasm. Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. In acute cases,ideally physiotherapy should be started after pain subsides . Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc. Treatment can be planned after consultation with neurosurgeon. You should also modify your life style like don't abruptly bend forward and avoid standing for long time.Don't lift heavy objects. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
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