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Disc bulge at L4-L5, advanced degenerative discovertebral changes, facet joint hypertrophy from L3-S1 bilaterally. Indications?

Hi I have been advised I have a mild disc bulge Level L4-5 which does indent the. Exiting L4 nerve root at foraminal level billaterally ! What does that mean please ? I have also been advised I have advanced degenerative discovertebral changed seen at L4-5 level( I had a major prolapse there in 2006 no op ) I also have further degenerative changes are see in the levels above particularly L3-4 L2-3 and T11-12. Also facet joint hypertrophy is seen particularly from L3 -s1 bilaterally . No other abnormality seen . The distal portion of the chord included appears normal .... I am scared to death now and awaiting an app for seeing consultant ... What does it mean ? I am self healing and slowly improving after 8wks off work ... What does it all mean please ?
Asked On : Thu, 10 Jan 2013
Answers:  1 Views:  346
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

First of all, I would like to reassure you that the MRI findings of your lumbar spine are not serious and there is no need to worry.

MRI shows a mild disc prolapse and most likely, no surgery would be required.

Treatment would consist of physical therapy and neuropathic pain medications such as pregabalin and gabapentin. It is good to note that you are already getting better.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Sat, 12 Jan 2013
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