What Does The Reference Diffuse Disc Seen At L4 L5 Level Indenting Thecal Sac Mean?
yes please my MRI report impression * diffuse disc seen at l4 l5 level indenting thecal sac and bilateral traversing nerve roots and left exiting nerve root at this level note also made of focal hypertrophy of ligamentum flavum at this level further contributing to lateral recess stenosis at this level * and I can t understand any thing
According to MRI report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.
1.At L4-5 level,there is diffuse disc bulge noted which is indenting thecal sac and bilateral traversing nerve roots and left exiting nerve root.There is also focal hypertrophy of ligamentum flavum at this level which is contributing to lateral neural foramen stenosis at this level.
Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. 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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What Does The Reference Diffuse Disc Seen At L4 L5 Level Indenting Thecal Sac Mean?
Hello Thanks for writing to us According to MRI report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L4-5 level,there is diffuse disc bulge noted which is indenting thecal sac and bilateral traversing nerve roots and left exiting nerve root.There is also focal hypertrophy of ligamentum flavum at this level which is contributing to lateral neural foramen stenosis at this level. Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. 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