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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Loss Of Normal T2 Signal, Disc Bulge In L4/5. Taking Injections. No Help. Further Treatment?

I had a car accident and had an MRI and have a loss of normal T2 high signal in the L4/5 and L5/s1 discs, which both show samll disc bulges on the sagittal images. Also a suspect transitional arrangement at the lumbosacral junction. Also at L4/5 there is a small broad based right paracentral disc bulge which is causing slight distortion of the right lateral recess . Also at L5/s1 a small central disc. I have been getting injections twice a year since this happened but they are no longer helping. What is the next step?
Mon, 17 Dec 2012
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Neurologist, Surgical,  's  Response
Dear as you said small disc bulge then this wouldn't be the couse of pain but transitional movement at lumbosacral junction can couse such pain so first you under go dynamic X-Ray at lumbosacral spine and if shows sign of mobility then it should be fixed by a neurosurgeon then only you will have relieve of symptoms.
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Have Loss Of Normal T2 Signal, Disc Bulge In L4/5. Taking Injections. No Help. Further Treatment?

Dear as you said small disc bulge then this wouldn t be the couse of pain but transitional movement at lumbosacral junction can couse such pain so first you under go dynamic X-Ray at lumbosacral spine and if shows sign of mobility then it should be fixed by a neurosurgeon then only you will have relieve of symptoms.