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What Does The MRIS Scan Report Indicate?
Question: Hi Dr,
Below details are of my friend MRIS scan report details , she is suffering from lower back pain from 7-8 months . could you please check details mentioned below
MRI reveals subtle posterior disc bulges at C5-C6,L2-L3,L4-L5 levels indenting the thecal sac without neural compression
could you please help me out to understand this whole details .. and what sort of treatment we can take to cure
Below details are of my friend MRIS scan report details , she is suffering from lower back pain from 7-8 months . could you please check details mentioned below
MRI reveals subtle posterior disc bulges at C5-C6,L2-L3,L4-L5 levels indenting the thecal sac without neural compression
could you please help me out to understand this whole details .. and what sort of treatment we can take to cure
Brief Answer:
Possible degenative column disease.
Detailed Answer:
Hi, I had gone through your question and understand your concerns. From the MRI report seems there's no significant compression effect on your friend's neural structures and there's no need for surgery.There is need to better diagnose the cause of symptoms and further testing should be performed.There is need for plain radiographs (cervical and lumbosacral column) in neutral, extension and flexion position to check for/ rule out bone involvement and instability of vertebral column as well as blood work lab for any rheumatic diseases ( ESR, Fibrinogen, Rheumatoid factor etc).A possible cause may be degenative column disease. Test results should be correlated with clinical findings. After correct diagnosis treatment modalities should be clear. Your friend should use NSAID drugs ( Diclofenac if no alergic and no gastric disease), warm procedures on vertebral column. I suggest you to consult your primary care Doctor and discuss above mentioned suggestions. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Possible degenative column disease.
Detailed Answer:
Hi, I had gone through your question and understand your concerns. From the MRI report seems there's no significant compression effect on your friend's neural structures and there's no need for surgery.There is need to better diagnose the cause of symptoms and further testing should be performed.There is need for plain radiographs (cervical and lumbosacral column) in neutral, extension and flexion position to check for/ rule out bone involvement and instability of vertebral column as well as blood work lab for any rheumatic diseases ( ESR, Fibrinogen, Rheumatoid factor etc).A possible cause may be degenative column disease. Test results should be correlated with clinical findings. After correct diagnosis treatment modalities should be clear. Your friend should use NSAID drugs ( Diclofenac if no alergic and no gastric disease), warm procedures on vertebral column. I suggest you to consult your primary care Doctor and discuss above mentioned suggestions. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Above answer was peer-reviewed by :
Dr. Raju A.T
Hello dr she took MR for few months also calcium n vit D 3 but no luck. Her Xray shows nothing more than a muscle spasm..her primary care dr..suggested some painkiller n inflammation tablets n ointment along with physiotherapy...but nothing helped. She did swimming for over a month which also did not help. Right now she is doing some back strengthing exer which her dr suggested but again no luck..she feels better after walking..sitting gives her pains n at times lying position also
Also uploaded the report of MRI screening and exerciers she is doing
She is 35 year old IT professional...on leave from last six months bec of this pain.
Her calcium was fine Vitamin D3 was low 9.8 and RA factor was also normal
She is 62 inch tall with 154 lb n have a weak stomach...I mean gastric n acidic...also when she wake up in the mornings she feels some stiffness in her fingers which becomes normal after few minutes of activity
Also she has a 4 yr daughter during her pregnancy she has put on a lot of weight around 45 pounds n had a c section. She has always been doing exer n eating healthy
Also uploaded the report of MRI screening and exerciers she is doing
She is 35 year old IT professional...on leave from last six months bec of this pain.
Her calcium was fine Vitamin D3 was low 9.8 and RA factor was also normal
She is 62 inch tall with 154 lb n have a weak stomach...I mean gastric n acidic...also when she wake up in the mornings she feels some stiffness in her fingers which becomes normal after few minutes of activity
Also she has a 4 yr daughter during her pregnancy she has put on a lot of weight around 45 pounds n had a c section. She has always been doing exer n eating healthy
Brief Answer:
EMG and Pyridoxine level should be assessed.
Detailed Answer:
Hi and thanks for asking again. Since there is a low Vitamin D level, there is need to assess Vitamin B6 ( Pyridoxine) level, and Vitamin B12, because it's low or very high levels may cause symptoms similar to those prescribed. And she should start Vitamin D supplements. Another test to assess nerve functionality is an EMG. MRI report doesn't justify that much pain. Physical therapy has a little benefit if it's done during pain period and there's no benefit if there's a toxic nerve damage. If your friend feels better walking, then that's the best physical therapy for her. Hope this helps. If you have further questions feel free to ask.
EMG and Pyridoxine level should be assessed.
Detailed Answer:
Hi and thanks for asking again. Since there is a low Vitamin D level, there is need to assess Vitamin B6 ( Pyridoxine) level, and Vitamin B12, because it's low or very high levels may cause symptoms similar to those prescribed. And she should start Vitamin D supplements. Another test to assess nerve functionality is an EMG. MRI report doesn't justify that much pain. Physical therapy has a little benefit if it's done during pain period and there's no benefit if there's a toxic nerve damage. If your friend feels better walking, then that's the best physical therapy for her. Hope this helps. If you have further questions feel free to ask.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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