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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Results Of Back. What Is Your Advise?

Dear Doctors, My recent MRI comes up with the following. Please advise me what would be the best possible treatment. 1. Significant spasm of the paravertebral muscles of the back. 2. L4-5 posterior central disc protrusion slightly indenting the opposing thecal sac and minimally encroaching on both recesses. Associated posterior midand right para-sagittal recent radial annular tear. 3.Loss of the bright T2 signal intensity of the presumed L4-5 disc denoting dehydration and degeneration of its discogenic materials. Preserved height as well as the bright T2 signal intensity of the other scanned discs.
Thu, 19 Jul 2012
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM.
I can see that you have a torn and prolapsed (slipped) disc at lower spinal level and hence the pain and muscle spasm.
what is your age?
did you suffer trauma?
how did it occur?do you suffer from any additional illness?
treatment will depend on all thses.
so please describe your problem in detail.
in general pain killers, muscle relaxants like doxazocin etc will give symptiomatic relief.
and you need to take your ortho doc/ spinal surgeon's advice on whether surgery is needed, sooner or later.
I hope to have satisfied you ?
pl. post additional info. and I will be glad to help.
Good luck.

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MRI Results Of Back. What Is Your Advise?

Dear friend, welcome to HCM. I can see that you have a torn and prolapsed (slipped) disc at lower spinal level and hence the pain and muscle spasm. what is your age? did you suffer trauma? how did it occur?do you suffer from any additional illness? treatment will depend on all thses. so please describe your problem in detail. in general pain killers, muscle relaxants like doxazocin etc will give symptiomatic relief. and you need to take your ortho doc/ spinal surgeon s advice on whether surgery is needed, sooner or later. I hope to have satisfied you ? pl. post additional info. and I will be glad to help. Good luck.