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Degenerative disc disease, thecal sac compression, displacement due to posterior and posterolateral disc herniation with osteophytosis. What does this mean?

I am Nazibullah, age 38 facing low back and leg pain that goes down to my foot on the right. here is my MRI report. Findings: Lumbar lordosis is slightly straightened with normal vertebral alignment. On T2 weighted images lumbar discs are hypointense due to disc desiccation . Focal T1 & T2 hyperintensity with trabecular thickening at L4 vertebral body. Small Schmorl’s nodes are seen at the superior end plates of D12, L1 & L2 vertebral bodies. Anterior corner of L2, L3, L4 & L5 vertebral bodies show T1 & T2 hyperintensities which may signify degenerative signal change. Degenerative end plate changes are noted at L5-S1 level as evidenced by T1 & T2 hyper intensity signals from the opposing vertebral end plates. Remainder of the vertebrae show normal marrow signal intensities Visualised part of the cord appear normal in signal characteristics and morphology. Imaged pre & paravertebral soft tissue appears normal At L5-S1 level: Disc height is reduced. Broad-based posterior & posterolateral disc herniation (Extrusion) with mild posterolateral osteophytosis are causing corresponding thecal sac compression, both lateral recess and bilateral neural foraminal narrowing marked on right and right S1 nerve root compression and displacement. Spinal canal is stenosed. Impression: Degenerative disc disease. Thecal sac compression, both lateral recess and bilateral neutal foraminal narrowing marked on right and right S1 nerve root compression and displacement at L5-S1 level due to porterior & posterolateral disc herniation (Extrusion) with mild posterolateral osteophytosis as stated above. Please reply and advice me in these resect to my mail; YYYY@YYYY
Asked On : Thu, 16 Aug 2012
Answers:  1 Views:  661
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Neurologist 's  Response
Hello,
Your symptoms are because of the nerve root compression in the right side, as is evident in MRI report. You need to get evaluated by a neurosurgeon for and he will assess for any other neurological deficits. After that he will advice whether you need to undergo surgery or you can be managed by medications alone. In any case, physical therapy and medications for pain will be helpful in conforting you. Strict bed rest also is advisable for about 15 days on a hard bed.
Good luck.
Answered: Thu, 16 Aug 2012
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