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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For The Degenerative Disc Osteophyte And Paracentral Disc Protrusion?

I've been suffering severe pain on the lower right side of my back, so I've just had a ct scan of my lumbar spine. It found severe bilateral foraminal stenosis at L5/S1 as a result of degenerative disc osteophyte complex herniation. There was also focal Central to right paracentral disc protrusion on the right at L4/5, measuring 10 x 6mm, effacing the right lateral recess, potentially impinging on the nerve. Apart from the disc impinging on the nerve I don't know what any of this means. Can you please explain it in layman's terms & likely treatments for it?
Tue, 28 Jan 2014
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General & Family Physician 's  Response
Hi,

I have gone through your query.
Your CT scan result suggest that passage of nerve from vertebra is narrowed due to degeneration of the surrounding bone at level of Lumbar 5th and Sacral 1st.
As CT scan does not show or confirm level on nerve compression, MRI is advised.
At initial stage medicines and physical therapy help in relieving symptoms.
Now based on your symptoms, clinical examination and MRI report surgical decompression of nerve can be done. Your treating doctor will confirm if degeneration is localized and not affected other parts of vertebra.


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What Is The Treatment For The Degenerative Disc Osteophyte And Paracentral Disc Protrusion?

Hi, I have gone through your query. Your CT scan result suggest that passage of nerve from vertebra is narrowed due to degeneration of the surrounding bone at level of Lumbar 5th and Sacral 1st. As CT scan does not show or confirm level on nerve compression, MRI is advised. At initial stage medicines and physical therapy help in relieving symptoms. Now based on your symptoms, clinical examination and MRI report surgical decompression of nerve can be done. Your treating doctor will confirm if degeneration is localized and not affected other parts of vertebra. Do consider a positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2