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Dr. Andrew Rynne

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Diagnosed with lumbar spondylitis. Suggest treatment without surgery

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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5165 Questions

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Posted on Mon, 25 Nov 2013 in Back Pain
Question: HI, I was diagnosed with Lumbar Spondylitis last year April..and have taken some physiotherapy and then Ayurveda treatment and continuing with Yoga therapy. Keeping me going is Yoga. But i Want to get the thorn out of my system.. how can i do that without surgery?
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Answered by Dr. Vaibhav Gandhi 21 minutes later
Brief Answer: Posture maintainence and if required MRI. Detailed Answer: Hello, I have studied your case. Most probable reason for your symptoms could be postural problem as you may be sitting for long time. I will advise you to do MRI spine to see for any disc bulge or spinal canal stenosis.And also check your vit B12 and vit D3 level. Medication like methylcobalamine and analgesic will reduce pain. You can continue yoga exercises and focus on spine extension exercises. Some exercises which can be done include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inch off the ground and stay Position for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. You can cure disease by doing all modalities with balancing your posture habits. Hope this helps. Wish you a speedy recovery. Take care.
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MRI OF LUMBOSACRAL SPINE: -

PROTOCOL:

-     SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
-     TSE T2 W SEQUENCE IN AXIAL PLANE.
-     STIR SEQUENCE IN CORONAL PLANE.
-     MR MYELOGRAPHY USING HEAVILY T2W SEQUENCE IN SAGITTAL AND CORONAL PLANES ON A 1.5 TESLA SCANNER.

There is some degree of straightening of lumbar lordotic curvature. Vertebrae are normal in height, alignment and marrow signal intensity.
Dessicative disc changes and anterior osteophytes are noted at multiple levels. Disc height is reduced at L4-5 with degenerative endplate changes at this level.

There is diffuse disc bulge, thickened ligamentum flavum & facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R). The mid sagittal diameter and area of spinal canal are 0.8cm and 0.75cm² (lower normal limits are 1.0cm and 1.5cm² respectively. Effusion is detected in the facet joints.
Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.

Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.

Impression      :     MR findings reveal lumbar spondylotic changes with
     -     Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
     -     Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
     -     Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.

-     To be correlated clinically.

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