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Suggest treatment for backache

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Posted on Wed, 30 Jul 2014
Question: having backache and as per my doctor advice have done mri.

Have enclosed report for your reference, request you to advice me the best tretment.
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Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
You are suffering from degenerative disc disease.

Detailed Answer:
Hello XXXXXXX
Thanks for writing to HCM

I have thoroughly gone through your findings in detail.

You have degenerative disc disease of lumbar spine.It is bit early in your case.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.L5 vertebra is sacralized.It means L5 vertebra is now a part of scarum.This is a normal variant.

2.L5-S1 disc is rudimentary.It means,it is not well developed.

3.At L3-4 level,there is broad based posterior disc bulge which is indenting the thecal sac and it is encroaching left lateral neural foramen where it is touching exiting nerve roots.There is also ligamentum flavum hypertrophy and mild facet arthropathy.

4.At L4-5 level,there is also broad based posterior disc bulge which is indenting the thecal sac.There is no compression over neural foramen at this level.There is also mild ligamentum flavum hypertrophy and mild facet arthropathy.

5.At D12-L1 level,there is minimal posterior disc bulge.

Majority of the cases of degenerative spine disease are benefited by physiotherapy.So,physiotherpay should be tried first.It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Treatment can be planned after consultation with neurosurgeon.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6727 Questions

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Suggest treatment for backache

Brief Answer: You are suffering from degenerative disc disease. Detailed Answer: Hello XXXXXXX Thanks for writing to HCM I have thoroughly gone through your findings in detail. You have degenerative disc disease of lumbar spine.It is bit early in your case. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.L5 vertebra is sacralized.It means L5 vertebra is now a part of scarum.This is a normal variant. 2.L5-S1 disc is rudimentary.It means,it is not well developed. 3.At L3-4 level,there is broad based posterior disc bulge which is indenting the thecal sac and it is encroaching left lateral neural foramen where it is touching exiting nerve roots.There is also ligamentum flavum hypertrophy and mild facet arthropathy. 4.At L4-5 level,there is also broad based posterior disc bulge which is indenting the thecal sac.There is no compression over neural foramen at this level.There is also mild ligamentum flavum hypertrophy and mild facet arthropathy. 5.At D12-L1 level,there is minimal posterior disc bulge. Majority of the cases of degenerative spine disease are benefited by physiotherapy.So,physiotherpay should be tried first.It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX