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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The MRI Regarding Back Pain Indicate?

Hi,
I have a low back pain for last 1 year which would exist for some time when i sit continously and the disappear which was manageble. Recently it did exist for quite long time and i felt the pain in my legs also. So i went to take MRI and this is what the report said. Can you please suggest how bad it is

Cirumferential disc bulgewith indentation of anterior thecal sac and minimal impingement of the L5 nerves is visualized at L4-L5 level. Dehydration of this intervertebral disc and minimal narrowing of the neural foramina is visualized



Cirumferential disc bulgewith posterior bulge and minimal impingement of the S1 nerves is visualized at L5-S1 level. Dehydration of this intervertebral disc and minimal narrowing of the neural foramina is visualized

No evidence of bone marrow edema or osteomyelitis visualized
Wed, 25 Feb 2015
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Radiologist,  's  Response
Hello

MRI findings suggests advance degenerative disc disease of L/S spine.
Degenerative changes occurs due to aging and weakness in annulus fibrosis.

1.At L4-5 level,there is diffuse disc bulge with indentation on thecal sac and diffuse disc bulge is causing minimal impingement of the L5 nerve roots.
There is also loss of water from inter vertebral disc at this level.

2.AT L5-S1 level,there is also diffuse disc with posterior bulge and it is causing minimal impingement on S1 nerve roots.There is also loss of water from inter vertebral disc at this level and minimal narrowing of lateral neural canal.

Your findings suggest mild degenerative changes.
Majority of the cases of degenerative spine disease are benefited by physiotherapy and analgesics.You should try physiotherapy first.Surgery should be the last option.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does The MRI Regarding Back Pain Indicate?

Hello MRI findings suggests advance degenerative disc disease of L/S spine. Degenerative changes occurs due to aging and weakness in annulus fibrosis. 1.At L4-5 level,there is diffuse disc bulge with indentation on thecal sac and diffuse disc bulge is causing minimal impingement of the L5 nerve roots. There is also loss of water from inter vertebral disc at this level. 2.AT L5-S1 level,there is also diffuse disc with posterior bulge and it is causing minimal impingement on S1 nerve roots.There is also loss of water from inter vertebral disc at this level and minimal narrowing of lateral neural canal. Your findings suggest mild degenerative changes. Majority of the cases of degenerative spine disease are benefited by physiotherapy and analgesics.You should try physiotherapy first.Surgery should be the last option. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Dr.Indu Bhushan