Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
138 Doctors are Online

What does " Central and slightly left sided localized disc protrusion.." mean?

DOCTOR OF THE MONTH - Apr 2014
Apr 2014
User rating for this question
Very Good
Answered by

Radiologist
Practicing since : 2004
Answered : 6386 Questions
Question
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
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor