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What Does This MRI Report Indicate?
Question: I am writing down MRI report of my son who is 17 1/2 years old.
MRI
Mild sabarticular erosion with diffuse marrow oedema seen in sacral and iliac aspects of left sacroiliac joint.
Right sacroiliac joints appears normal.
The joint space of hip joints is normal. No significant fluid collection or synovial thickening seen in both hip joints.
The capsule of hip joints is normal. No abnormality seen in iliofemoral pubofemoral and ischiofemoral ligaments.
Marrow of head of femur show normal signal intensity in all sequences. No evidence of avascular necrosis.
No abnormality seen in the neck or trochanters or shaft of femur on both sides.
The acetabulum is normal.
The muscles and neurovascular bundles are normal.
No abnormality seen sacral plexus.
LS - Spine screening.
-----------------------------
Mild disc desiccation with posterior disc bulge seen at L5-S1 level causing thecal sac indentation, narrowing of bilateral neural foramina.
Rest of lumbar intervertebral disc appears normal.
Impression:
----------------
* Acute left sided sacroiliitis .
* Right sacro iliac joint and bilateral hip joints appear normal.
* Mild disc desiccation with posterior disc bulge at L5-S1 level causing thecal sac indentation, narrowing of bilateral neural foramina.
* Rest of intervertebral discs appear normal.
Blood reports are normal.
Can I know the cause of this pain comes to my son. He has never had any injury so for. I would like to know all the ways to prevent it & and the best way to prevent it among them. If medication is available for such disease then kindly suggest with the amount of dosage. If any kind of exercise would be useful please suggest.
Thanks & Regards
XXXX
MRI
Mild sabarticular erosion with diffuse marrow oedema seen in sacral and iliac aspects of left sacroiliac joint.
Right sacroiliac joints appears normal.
The joint space of hip joints is normal. No significant fluid collection or synovial thickening seen in both hip joints.
The capsule of hip joints is normal. No abnormality seen in iliofemoral pubofemoral and ischiofemoral ligaments.
Marrow of head of femur show normal signal intensity in all sequences. No evidence of avascular necrosis.
No abnormality seen in the neck or trochanters or shaft of femur on both sides.
The acetabulum is normal.
The muscles and neurovascular bundles are normal.
No abnormality seen sacral plexus.
LS - Spine screening.
-----------------------------
Mild disc desiccation with posterior disc bulge seen at L5-S1 level causing thecal sac indentation, narrowing of bilateral neural foramina.
Rest of lumbar intervertebral disc appears normal.
Impression:
----------------
* Acute left sided sacroiliitis .
* Right sacro iliac joint and bilateral hip joints appear normal.
* Mild disc desiccation with posterior disc bulge at L5-S1 level causing thecal sac indentation, narrowing of bilateral neural foramina.
* Rest of intervertebral discs appear normal.
Blood reports are normal.
Can I know the cause of this pain comes to my son. He has never had any injury so for. I would like to know all the ways to prevent it & and the best way to prevent it among them. If medication is available for such disease then kindly suggest with the amount of dosage. If any kind of exercise would be useful please suggest.
Thanks & Regards
XXXX
Brief Answer:
Rest, ice, anti inflammatory Medicine.
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
Thanks for the query.
I have reviewed the MRI Report of your Son. It mentions that he has inflammation of the joint that connects the left hip bone to the sacral bone at the lower back.
Usually the cause its due to trauma, inflammatory disease like Ankylosing spondylitis, excessive standing on left side, running.
This could be a forerunner of possible inflammatory disease like Ankylosing spondylitis and this needs to be evaluated at regular intervals. This disease can cause stiffness of the back, neck, difficulty to bend forward.
Medication like anti inflammatory drugs can be used, for example Tablet Ibuprofen 400mg twice a day for 5 days after meals. This can cause acidity do he has to also take Tablet Ranitidine 150mg twice a day, half an hour before meals. Drink plenty of water. Avoid sitting on ground, squatting. Apply ice over the painful regions. Sometimes hot packs can offer relief if the is associated muscle tightness. Mild back stretching exercises will give relief to the back pain. Avoid bending forwards or lifting weights.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Rest, ice, anti inflammatory Medicine.
Detailed Answer:
Hi there.
Welcome to Healthcare Magic.
Thanks for the query.
I have reviewed the MRI Report of your Son. It mentions that he has inflammation of the joint that connects the left hip bone to the sacral bone at the lower back.
Usually the cause its due to trauma, inflammatory disease like Ankylosing spondylitis, excessive standing on left side, running.
This could be a forerunner of possible inflammatory disease like Ankylosing spondylitis and this needs to be evaluated at regular intervals. This disease can cause stiffness of the back, neck, difficulty to bend forward.
Medication like anti inflammatory drugs can be used, for example Tablet Ibuprofen 400mg twice a day for 5 days after meals. This can cause acidity do he has to also take Tablet Ranitidine 150mg twice a day, half an hour before meals. Drink plenty of water. Avoid sitting on ground, squatting. Apply ice over the painful regions. Sometimes hot packs can offer relief if the is associated muscle tightness. Mild back stretching exercises will give relief to the back pain. Avoid bending forwards or lifting weights.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dear Doctor,
I wish to inform you that 50% improvement in my son hip joint psin. Can you suggest me how long he has to take medicines agvised by you and any follow excercises needs to be done regularly. Further I have been told one of my friend it is new desease by name called as viral arthritis.
Looking forward to receive reply at the earliest.
Regards
XXXX
I wish to inform you that 50% improvement in my son hip joint psin. Can you suggest me how long he has to take medicines agvised by you and any follow excercises needs to be done regularly. Further I have been told one of my friend it is new desease by name called as viral arthritis.
Looking forward to receive reply at the earliest.
Regards
XXXX
Brief Answer:
Hip and knee exercises. Discontinue the medicines after 7 days course
Detailed Answer:
Hi XXXX
I'm happy to learn that he has improved. Yes, Viral fever can sometimes cause the problems your son is facing and should be fine in a couple of weeks with rest, limb elevation and protected weight bearing. He can do hip flexion and extension as well as knee strengthening exercises and start waking as soon as he is completely comfortable. Take the medication only for 7 days.
Wishing a speedy recovery.
Regards,
Dr. Aashish Raghu
Hip and knee exercises. Discontinue the medicines after 7 days course
Detailed Answer:
Hi XXXX
I'm happy to learn that he has improved. Yes, Viral fever can sometimes cause the problems your son is facing and should be fine in a couple of weeks with rest, limb elevation and protected weight bearing. He can do hip flexion and extension as well as knee strengthening exercises and start waking as soon as he is completely comfortable. Take the medication only for 7 days.
Wishing a speedy recovery.
Regards,
Dr. Aashish Raghu
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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