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Thecal sac indentation

What is the best treatment for these findings in an MRi report Disc dehydration with end plate changes at L4-L5 and L5-S1 levels Multilevel facet joint degenerative changes along with ligamentum flavum hyperthrophy At L4-L5 level, diffuse disc bulge with minimal thecal sac indentatioln and mild bilateral lateral recess stenosis At L5-S1 level, central disc bulge with minimal inferior migration resulting in mild thecal sac indentation and mild central canal and moderate bilateral and lateral recess stenosis.
Hello maisielobo

Thanks for posting your query

According to your MRI report , it seems you are suffering from disc degenerative ds and facet joint arthopathy.

Treatment can not be planed only on MRI findings, examination of your spine, neurological examination is essential.

It also depends on...
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MR imaging reveals diffuse disc bulges at L4-5 and L5-S1 levels indenting the thecal sac with mild narrowing of bilateral neural foramina......................and doctor recommended me Laser surgery ...and don t know what to do at this age..Isn t there any solution out...as every doctor gives me his personal different advise...some says medicines and some exercise and some surgery and some says it is normal so don t be panic just take medicines
Hi Ayush,
MR image showing disc bulging is very common however it is very important in spine to match clinical symptoms and MRI finding. I need to know about the severity of the problem? location of pain? and your MRI images especially cuts at L4-5 and L5-S1. By the way what's your age right now?...
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Hi I m Marudu 22 yrs old. my lumbar mri reads this : Sacralization of l5 vertebra. posterior annular bulge of l3-l4 intervertebral disc causing anterior thecal sac indentation with mild bilateral neuro foraminal narrowing is seen. Posterior annular bulge with focal postero central protrusion of l4-l5 intervertebral disc causing anterior thecal sac indentation without spinal canal nerve root compromise. Posterior annular bulge of c4-c5 and c5-c6 intervertebral discs. i have pain and numbness in left buttocks and leg. pls guide me. i also had a multiple superior end plate compression fractures of D-12, L-1 and L-2 vertebral bodies.
Welcome to HealthcareMagicForum

Hi..bharath.., the above reports of the x ray shows that, there is fusion of the 5th lumbar vertebra with sacrum.. hence there will be compression of the spinal cord in the vertebral canal..
also there will be compression of the nerve roots.. hence there is pain.....
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hi doctor
I have been suffering from my back injury since almost a year.I took an MRI and C.T scan.There was found to be an indentation on the thecal sac.I have been taking regular medicines and exercises,but there seems to be no cure.So do u suggest me to bear this pain for a little more expecting that it might get cured,or should i undergo surgery.PLEASE REPLY
Hello,
Thanks for writing in.
An indentation on thecal sac on MRI scan shows that there is pressure effect on the covering of the spinal cord..
To give a beeter opinion on your immediate need for surgery, I would like to know your complete CT scan and MRI reports.
There are many ponts to be...
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The MRI findings are suggestive of: 1. Transitional vertebra at L5-S1 level. Lumbarization of S1 vertebra. 2. Posterior disc herniation at L5-S1 level, causing bilateral neural foraminal narrowing, indentation of thecal sac and traversing nerve roots bilaterally. 3. Posterior disc herniation at L4-L5 level, causing indentation of thecal sac and traversing nerve roots bilaterally. 4. Focal ligamentum flavum hypertrophy at D11-D12 level, causng indentation of thecal sac from posteriorly. 5. Facetal and ligamentum flavum hypertrophy at the lumbar spine . 6. Posterior disc bulges at C3-C4 to C5-C6 levels, causing indentation of thecal sac.
Hello,
Thanks for writing to us.

You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.

For this condition you have to do stretching & strengthening exercises in which...
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Got MRI report of my mother who is 64 years old and the impression given is as follow. MRI Study shows degenerative spine changes with: Transitional verterbra at the lumbosacral junction(complete sacralisation of L5 Vertebra as counted from C1 level downwards) Diffuse bulge of the L3-L4 intervertebral disc with associated bilateral facetal degeneration and ligamentum flavum thickening causing secondary canal stenosis with thecal sac compression and bilateral foraminal narrowing Diffuse bulge of the L4-L5 intervertebral disc causing bilateral foraminal narrowing(R L) with thecal sac indentation. I want to know the treatment option for this condition
Hello and thanks for the query
The best treatment as per MRI report is surgery but nothing can be said without the clinical examination of the patient. The decision can be only made by both clinical examination and MRI report. If the pain in legs are worse and numbness or weakness present than...
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hi there if l have Indent Thecal Sac L2/3 4/5 5/si should thi s cause much pain...l also have Hypertrophic Facet Sac throughout ....Modic type 2 endplate at 2/5 L2/3 dehydrated and reduced.....l dont underatand my MRI could you please expalin .....
there are no signs of Spinal Canal Stenosis or Discal Neural Compression....Thank you

I have sever pain in the lower lumbar area and l am on Butrans 20mg and Zapain 4000mg per day
Hi,
Your MRI spine describes the various features of degeneration of spine and vertebral body. Thecal sac is the space where roots from spinal cord comes out which is mildly indented.Hypertrophy facet is thickening and enlargement of joints between veretebra called facets.Modic type2 endplated...
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