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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Result For Back Indicate?

I had a MRI April 29,2010 and my results were-----"There is a huge lobulated disk hurnation at L4-5.It beginsin the midline and extends into the left lateral recess.It extends inferiorly along the posterior aspect of the vertrbral body.It nearly reaches the level of the L%-S1 disk.There is pronounced effacement of the thecal sac with neural encroachment.There is some spinal stenosis due to the herniated.Facet joint hypertrophy is also present at this level.There is bilateral foraminal narrowing t L4-5-----Also at L5-S1 there is a moderate disk hernation in the left paramedian region.Neural encroachment is seen There is bone edema with disk space narrowing tL4-5.Signal loss is seen within the L5-S1 disk. ------- I am confused and would like to know how bad this really is there is several word i don't understand can you help please

                                                                 
Fri, 17 Apr 2015
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Orthopaedic Surgeon 's  Response
hi
it is advanced disc herniation disease and causing osteoarthritic changes in facet joints, spinal canal stenosis or narrowing causing nerve impingement and pressure on spinal cord.
If symtoms are serious like pain radiation to legs, backpain and not responding to physical therapy, medicines,conservative measures, a fusion surgery of lower spine with disectomy(re moval of herniated disc), removal of encroachments on foramina and facet joint is indicated for relief
Consult a spine surgeon
Regards
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What Does This MRI Result For Back Indicate?

hi it is advanced disc herniation disease and causing osteoarthritic changes in facet joints, spinal canal stenosis or narrowing causing nerve impingement and pressure on spinal cord. If symtoms are serious like pain radiation to legs, backpain and not responding to physical therapy, medicines,conservative measures, a fusion surgery of lower spine with disectomy(re moval of herniated disc), removal of encroachments on foramina and facet joint is indicated for relief Consult a spine surgeon Regards