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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Back Pain

I have been have severe back pain and just had a MRI of the Lumbar spine. My appt isn't until the middle of July and these are the results. l3-4 Disk Protrusion more of a right lateral component. L4-5 facet arthropathy, a disk protrusion and mild central stenosis. and L7-S1 there is a small disk protrusion and central annular tear. I also have Fibromyalgia and had a disketomy and fusion of c6-c7 but lately, my lower back is killing me, I am still as a board when I wake up and I'm having a terrible time walking. Can you tell me what all of this means and if you think I'll need surgery of the lumbar spine? TY.
Fri, 16 Jan 2015
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

Your MRI says foraminal protrusion causes right foraminal stenosis which leads to compression of exiting nerve root which later on supply right lower limb [leg].Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.

Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.

You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

MRI shows disc compressing on nerve root then surgical decompression is permanent solution.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Take care.
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Suggest Treatment For Severe Back Pain

Hello, I have studied your case. Your MRI says foraminal protrusion causes right foraminal stenosis which leads to compression of exiting nerve root which later on supply right lower limb [leg].Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.