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What Does My CT Scan Of Back Indicate?

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Posted on Tue, 15 Dec 2015
Question: Hi I had a CT Scan for my Back due to Lower Back pain from Past couple of weeks. Please advise what to do as I am in severe pain and doctor just gave me pain killers and told to exercise. The scan shows







L1/2



Shallow broad based posterior disc bulge indenting the ventral thecal sac without significant spinal canal or foraminal stenosis. No significant facet arthrosis is identified.



L2/3



No disc protrusion, spinal canal or foraminal stenosis. There is no significant facet arthrosis.



L3/4



There is a shallow broad based posterior annual disc bulge indenting the ventral thecal sac. No significant spinal canal or foraminal stenosis is identified. There is no significant facet arthrosis.



L4/5



Shallow broad based posterior annular disc bulge indenting the ventral thecal sac without significant spinal canal or foraminal stenosis. No significant facet arthrosis is identified.



L5/S1



There is a shallow broad based posterior annular disc bulge indenting the ventral thecal sac and contacting the right descending S1 nerve root. This may represents a site of potential neural irritation. No significant spinal canal or foraminal stenosis is identified. There is no significant facet arthrosis.







Impression



Multi level shallow broad based posterior annular disc bulges indenting the ventral thecal sac without significant spinal canal or foraminal stenosis. AT L5/S1 the disc contacts the right descending s1 nerve root with no convincing features of neural compression. Correlate with radiculopathic symptoms.

Doctor I am really really concerned about my back pain as I am planning to have 2nd baby in December next year. Are there any pregnancy issues with this problem in future. Please advise the correct option for the treatment. And how much time it will take to heal, what are the precautions and treatment options?

Thank You
doctor
Answered by Dr. Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Rest and analgesic is primary treatment.

Detailed Answer:
Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query and understand your concern. You are having disc prolapse at multiple levels. Primary treatment is rest and analgesic such as ibuprofen for pain relief. If pain is not relieved by it then tramadol can be taken after consulting your doctor. Position of rest is lateral (side) position with both hips and knees flexed.I will not advise exercises till relief of pain. Mecobalamin is helpful in neurological pain. I will advise MRI scan as MRI is more suitable for disc prolapse and seeing for compression.
I will also advise for vitamin D test as vitamin D deficiency is important cause of backache. If found low you can take vitamin D3.

You can discuss with your doctor about it.

Hope your query get answered. If you have any clarification then I will be happy to help you.

Wishing you a good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3356 Questions

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What Does My CT Scan Of Back Indicate?

Brief Answer: Rest and analgesic is primary treatment. Detailed Answer: Hi Thanks for your query I'm Dr Sudhir Kumar I have gone through your query and understand your concern. You are having disc prolapse at multiple levels. Primary treatment is rest and analgesic such as ibuprofen for pain relief. If pain is not relieved by it then tramadol can be taken after consulting your doctor. Position of rest is lateral (side) position with both hips and knees flexed.I will not advise exercises till relief of pain. Mecobalamin is helpful in neurological pain. I will advise MRI scan as MRI is more suitable for disc prolapse and seeing for compression. I will also advise for vitamin D test as vitamin D deficiency is important cause of backache. If found low you can take vitamin D3. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then I will be happy to help you. Wishing you a good health. Take care.