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Dr. Andrew Rynne

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MRI Reveals Lumbar Spondylosis With Diffuse Disc Bulge, Paracentral Disc Extrusion With Caudal Migration. Is Surgery Only Option ?

hello doctor,
My spouse did MRI yesterday n impression of that MRI imaging reveals lumbar spondylosis with diffuse disc bulge with central left paracentral disc extrusion with caudal migration of nucleus pulposus at L5-S1 level, indenting the thecal sac with narrowing of left neural foramen and ompressing left traversing nerve root.
please suggest surgery is the only option or there is any other treatment for that? if yes what can be the other treatment & how much time it will take to cure.
Tue, 13 Aug 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query, and uploading the MRI report of your spouse.
The choice of treatment depends not only on the findings of MRI, but also patient's symptoms and findings of clinical examination.
If he has severe leg pain, or bladder symptoms, or leg weakness, then surgery may be required.
However, if pain is the only symptom, then surgery can be postponed. In this case, treatment would consist of bed rest, physiotherapy and medications such as pregabalin.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
My blog: http://bestneurodoctor.blogspot.com/
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MRI Reveals Lumbar Spondylosis With Diffuse Disc Bulge, Paracentral Disc Extrusion With Caudal Migration. Is Surgery Only Option ?

Hi, Thank you for posting your query, and uploading the MRI report of your spouse. The choice of treatment depends not only on the findings of MRI, but also patient s symptoms and findings of clinical examination. If he has severe leg pain, or bladder symptoms, or leg weakness, then surgery may be required. However, if pain is the only symptom, then surgery can be postponed. In this case, treatment would consist of bed rest, physiotherapy and medications such as pregabalin. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com My blog: http://bestneurodoctor.blogspot.com/