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Straightened lumbar lordosis, spondylotic changes with marginal osteophytes, disc degeneration and bulge. What does it mean?

Mr findings straightened lumbar lordosis spondylotic changes with tiny marginal osteophytes of opposing G VEPS raduced bright T2 signal of L4/5 disc denoting its degeneration L4/5 posterior disc bulge with left posterolateral protrusion effacing the ventral epidural fat and encroaches upon both exit foramina, more on the left L3/4 and L4/5 apophyseal joints effusion
Asked On : Sat, 7 Jul 2012
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Radiologist 's  Response
Apr 2014
Thanks for writing to us

According to report,you have degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.There is straightening of lumbar lordosis,it may be due to muscle spasm.

2.There are spondylotic changes in lumbar spine with formation of tiny marginal osteophytes.Osteophytes are formed due to chronic stress on annulus fibrosis.

2.At L4- 5 level,there is posterior disc bulge with left posterolateral herniation and it is effacing the ventral epidural fat and encroaches upon both lateral neural foramen, more on the left side.

3.There is also apophyseal joints effusion at L3/4 and L4/5 level.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.

Treatment can be planned after consultation with neurosurgeon.

Get well soon.
Take Care
Dr.Indu Bhushan
Answered: Mon, 9 Jun 2014
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