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MRI report shows right side acute sacroliitis. Treatment?

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General & Family Physician
Practicing since : 2012
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as per MRI done on 9th instant the impression was found suggestive of right side acute sacroliitis.Posterior disc herniation at L4-L5 is indenting the thecal sac & cauda equina nerve roots.please advice the treatment to be followed
Posted Fri, 31 May 2013 in General Health
Answered by Dr. Achuo Ascensius 2 hours later
Thanks for the query

It would have been a lot better to comment provided you stated the reasons why you did take the MRI and what symptom you had that motivated consultation.

The cauda equina is the lower part of the spinal cord that contains an abundant amount of nerves that innervate the lower part of the body. Compression at the level of the cauda equina produces the following symptoms:
-Severe low back pain.
-Pain, numbness, or weakness in one or both legs
-Loss of or reduced sensations in your legs, buttocks, thighs, backs of your legs, or feet that is severe or gets worse.
-Recent problem with bladder or bowel function, such as trouble eliminating urine or waste (retention) or trouble holding it (incontinence).
-Sexual dysfunction that has come on suddenly

Compression of the cauda equina is term the cauda equina syndrome and can lead to permanent damage to the cauda equina. Your MRI shows a compression of the cauda equina which is a serious problem.

However, for effective management, your clinical presentation should be correlated with the lesion. In asymptomatic cases ( without symptoms), the disc herniation can be given a conservative management but then avoiding loads and strict follow up are generally employed to slow and monitor the progression and the occurrence of complications such as sectioning or damage to the nerves but will not treat the underlying cost. However, when there are already symptoms of the caudal equina syndrome which is an emergency requiring surgery in order to prevent sectioning or damage to nerves, only surgery is useful.

You will need to see a neurosurgeon for a detail examination.

Hope this answers your query. If you have further query, i will be glad to help.
Best regards
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