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What Does Foraminal Protrusion On MRI Of Spine Indicate?

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Posted on Mon, 16 Jun 2014
Question: I had CT scan May 19th , results read: the lumbar spine shows previous fusion of L5-S1.There is a broad-based disc bulge osteophyte complex seen at L4-5 eccentric to the left leading to moderate left foramina narrowing. Can you please tell me what this means? and if there is any hope on pain relief? I currently have spinal cord stimulator and take Lyrica, Topamax, Tizanidine and have added since I fell down stairs Vicodin.
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Answered by Dr. Vaibhav Gandhi (15 hours later)
Brief Answer:
compression of this nerve root there may be pain

Detailed Answer:
Hello,

I have studied your case.

Your MRI says foraminal protrusion causes left foraminal stenosis which leads to compression of exiting nerve root which later on supply left lower limb [leg].Due to compression of this nerve root there may be tingling numbness in your leg and pain associated with it.
This can be aggravated due to previous L5 S1 fusion.

Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; which you are taking consulting your treating doctor.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

I will advise to check your vit B12 and vit D3 level.
MRI shows disc compressing on nerve root so surgical decompression is permanent solution if not relieved conservatively.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Take care.
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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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Does Foraminal Protrusion On MRI Of Spine Indicate?

Brief Answer: compression of this nerve root there may be pain Detailed Answer: Hello, I have studied your case. Your MRI says foraminal protrusion causes left foraminal stenosis which leads to compression of exiting nerve root which later on supply left lower limb [leg].Due to compression of this nerve root there may be tingling numbness in your leg and pain associated with it. This can be aggravated due to previous L5 S1 fusion. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; which you are taking consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise to check your vit B12 and vit D3 level. MRI shows disc compressing on nerve root so surgical decompression is permanent solution if not relieved conservatively. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.