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What does "Anteror Osteophytosis seen involving superior end plated of L4-L5" mean?

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Posted on Wed, 9 Jul 2014
Question: Hi,
My wife suffering from back pain and accordingly shown to doctor and done MRI which states
1)Anteror Osteophytosis seen involving superior end plated of L4-L5.
2)Redused lumbar lordosis suggestive of paraspinal muscle spasm.
3)Degenerative discs seen at L4-L5 &L5-S1.
4)Reduced disc height seen at L4-L5 &L5-S1 intervertebral levels.
5)Facetal arthopathy seen at L2-L3,L3-L4,L4-L5,L5-S1.
6)Ligamentum Flavum Hypertrophy seen at L2-L3,L3-L4.
7Diffuse bulge with focal posterocentral and bilateral paracentral annular tear and protrusion of L4-L5 disc effecting the subarachnoid space anteriorly,abutting bilateral intracanalicular L5,encroaching bilateral neural foramina,commpressing bilateral traversing L4 nerve roots seen.

Kindly suggest remedy without any surgery.
doctor
Answered by Dr. Vaibhav Gandhi (44 minutes later)
Brief Answer:
Medication like methylcobalamine with Pregabalin

Detailed Answer:
Hello,

I have studied your case and seen report.

Medication like methylcobalamine with Pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor.

Some exercises which can be done after pain has reduced 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 further guidance. He may start TENS, or IFT which is helpful in your case. If you have started it continue it for few more days.

Some life style modifications to prevent pain– Take break every 40 min from work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.
I will advise to check your vit B12 .
If no relief with these medications then epidural steroid injection can be given.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion.
Take care.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What does "Anteror Osteophytosis seen involving superior end plated of L4-L5" mean?

Brief Answer: Medication like methylcobalamine with Pregabalin Detailed Answer: Hello, I have studied your case and seen report. Medication like methylcobalamine with Pregabalin and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced 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 further guidance. He may start TENS, or IFT which is helpful in your case. If you have started it continue it for few more days. Some life style modifications to prevent pain– Take break every 40 min from work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly. I will advise to check your vit B12 . If no relief with these medications then epidural steroid injection can be given. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.