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What Does My CT Scan Test Of Back Indicate?
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.
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.
Brief Answer:
Continue physiotherapy and medications as advised
Detailed Answer:
Hello XXXXX,
I have gone through your question and understand your concerns.
The imaging report is showing L5-S1 disc prolapse with compression of exiting nerve root on right side.
At present time the best management would be physiotherapy and medication. No surgical intervention is required if there is no deficit in sensory motor modalities.
For treatment you can additionally take pregabalin or gabapentin with pain killers if required.
You can also take vitamin D and calcium supplements to strengthen your back bone.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Continue physiotherapy and medications as advised
Detailed Answer:
Hello XXXXX,
I have gone through your question and understand your concerns.
The imaging report is showing L5-S1 disc prolapse with compression of exiting nerve root on right side.
At present time the best management would be physiotherapy and medication. No surgical intervention is required if there is no deficit in sensory motor modalities.
For treatment you can additionally take pregabalin or gabapentin with pain killers if required.
You can also take vitamin D and calcium supplements to strengthen your back bone.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Sonia Raina
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