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Lower back pain.Did MRI Study, dehydrative change of L3-4 and L5-s1. Explanations and treatment

I am Anup Sarovar, suffering from piercing lower back pain since two years. MRI Study of LS Spine reports

1) dehydrative change of L3-4 and L5-s1 discs observed
2) diffuse L3-4 disc bulgewith central protrusionindenting the thecal sac. no root compression
3)Central protrusion of L4-5 disc bulge imdenting the sac. no root compression.
4) Diffuse L5-s1 disc bulge with central and left paracentral extrusion and caudal migration is seen causing left lateral recess narrowing and compressing of the left s1 nerve root.

What do these mean?? and what are the treatment options
Asked On : Sun, 31 Mar 2013
Answers:  2 Views:  30
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi Mr.Anoop, thanks for writing to HCM. Your MRI findings depict that you have degenerative disc disease. Simple disc bulges without root compression is not a matter of concern as they will result only in backache. But, you have L5-S1 disc extrusion with migration and compression of nerve root which is significant. If you dont have any radicular symptoms (pain from back going down upto toes), then only conservative management is advisable as follows :
- Rest with analgesics / muscle relaxants
- Methylcobalamine preparations
- avoiding bending & jerky movements ( riding a two wheeler )
- avoid lifting heavy weights
- intermittant pelvic traction
- using lumbar back support during prolonged sitting.

If all the measures fail to provide relief and you have severe radicular symtoms, then surgical intervention may be needed. Hope this helps
Answered: Fri, 3 May 2013
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Orthopaedic Surgeon Dr. Praveen Tayal's  Response
Thanks for writing to us.
The MRI findings are suggestive of mild degree of age related degenerative changes of the spine with no nerve compression. You need to have mild muscle relaxants and pain killers for relief.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL
Dr. Praveen Tayal
Answered: Sat, 4 May 2013
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