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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Back Pain. MRI Shows Bulging Annulus. Worried

Hi, I am 2 year old female, I feel apprx 7 weeks ago with continuous lower back pain radiating into my leg. I got an MRI 3 weeks ago and it states L3-L4 have a prominent bulging annulus identified which is board-based with anterior thecal sac effacement no gross nerve root distortion identified. No foraminal impingement seen Mild thecal sac impingement seen at this level. L4-L5 there is a small bulging annulus seen. Bony canal is small due to congenital basis L5-S1 level demonstrates a tiny bulging annulus. Boney canal small due to congenital basis Early degenerative facet changes are seen on all levels. Today the pain became so unbearable, I was unable to get up off the floor from picking something up due pain and unable to straighten/move my back or right leg, I am still in a great deal of pain 6 hours later. This makes me worried. Please help :)
Thu, 13 Dec 2012
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Spine Surgeon,  's  Response
Usually bulging annulus may not be a problem however if you have congenitally narrow canal then it may become important as the space for the neural structure is compromised. I need to know how is the disc signals? are they normal or totally black on MRI. If they are black then it indicated early changes in the spine and you need to take care of your back because if you get an episode of disc herniation then it may have pronounced effect on your nerves. At present you need to continue physiotherapy with anti inflammatory with muscle relaxants. Thanks.
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Lower Back Pain. MRI Shows Bulging Annulus. Worried

Usually bulging annulus may not be a problem however if you have congenitally narrow canal then it may become important as the space for the neural structure is compromised. I need to know how is the disc signals? are they normal or totally black on MRI. If they are black then it indicated early changes in the spine and you need to take care of your back because if you get an episode of disc herniation then it may have pronounced effect on your nerves. At present you need to continue physiotherapy with anti inflammatory with muscle relaxants. Thanks.