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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Desiccation And Annular Bulge In L4-L5 From MRI

dear sir/madam,

My MRI Report shows :-

"Dessication & annular bulge in L4-L5. Posterior annular tearof L4l5 and L5-s1 is present. Bilateral foraminal and central canal narrowing and compression of exiting nerve roots are noted at L4-L5 level. "

What would be treatment like : Someone is syaing operation is needed. Other opinion is some injection on the point and nerve root blocking by radio therapy. I am confused. Kindly help with your advise.





Fri, 25 Jul 2014
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Radiologist 's  Response
Hello
Thanks for writing to us

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

1.At L4-5 level,there is dessication of disc (loss of water from disc) and annular bulge.There is also posterior annular tear at L4-5 and L5-S1 level. It is causing bilateral neural foramen and central canal narrowing with compression of exiting nerve roots at 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
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Suggest Remedy For Desiccation And Annular Bulge In L4-L5 From MRI

Hello Thanks for writing to us According to report,you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.At L4-5 level,there is dessication of disc (loss of water from disc) and annular bulge.There is also posterior annular tear at L4-5 and L5-S1 level. It is causing bilateral neural foramen and central canal narrowing with compression of exiting nerve roots at 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