Question: Hi Doctor,
Good evening, in XXXXXXX month i got severe back pain and after check up doctor prescribed me bed rest and medicines for 1 month. Now he asked me to do 4 physiotherapy exercises daily at home. But still i have back pain not severe but yes while i band forward. I am pasting my MRI report here for your reference, please guide me further so that i can get rid of this back pain.
MRI LUMBO-SACRAL SPINE
Protocol: Sagittal and Axial T1 and T2 Wt sequences. Coronal T2 IRFSE sequence
Screening mid sagittal T2 Wt sequence through whole spine
OBSERVATIONS:
Lumbar spine shows loss of normal lordosis.
Rest of the vertebral bodies show normal marrow signal intensities.
No evidence of osteolysis / osteosclerosis. No evidence of spondylolysis / listhesis.
No facetal and ligamentum flavum hypertrophy noted.
Conus is normal in size & signal intensity. No evidence of extradural/intradural/ intramedullary mass lesion.
No pre or para vertebral soft tissue mass lesion seen.
AP spinal canal dimension at the Pedicular levels are as follows:
L1 level : 1.41 cms
L2 level : 1.41 cms
L3 level : 1.41 cms
L4 level : 1.49 cms
L5 level : 1.39 cms
Intervertebral levels:
Disc dehydration is noted at L5-S1 level.
L5-S1: Diffuse disc bulge with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
Other lumbar discs: No significant herniations.
Both S.I. joints are normal.
Cont...2
Customer Name MR XXXXXXX XXXXXXX Customer ID IND345719
Age & Gender 30Y/MALE Visit Date 04/02/2016
Ref Doctor DR. XXXXXXX CHAVAN
:: 2 ::
Screening of cervico-dorsal spine:
Cervico-dorsal spine shows normal alignment & morphology.
CV junction is normal.
No disc dehydration is noted in the cervical and upper dorsal regions. No significant disc bulges/ herniations.
Spinal cord: Shows normal signal intensity. No focal lesions.
IMPRESSION:
 Diffuse disc bulge at L5-S1 with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
CONSULTANT RADIOLOGISTS:
DR. RADHESH. S DR. L.S. XXXXXXX DR. H.K. XXXXXXX DR. H.T. XXXXXXX XXXXXXX
DR. XXXXXXX XXXXXXX DR. XXXXXXX XXXXXXX ADT
Kk/rp