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Can an online doctor help understand the spine report and explain ?

finding L1-2 is normal there is a minimal disc bulge at L2-3, asymmetrically greater on the left. there is a minimal disc bulge at L3-4 asymmetrically greater on the left. there is a left subarticular-left paracentral anular tear with a small to moderate associated focal disc protrusion. The protrusion displaces and may mild compress the traversing left L5 nerve root . No significant thecal sac compression. There is mild facet arthropathy with mild left sided neuroforaminal stenosis . There is small moderate focal right paracentral-right disc extrusion at L5-S1,which displaces the traversing right S1 nerve root.Otherwise,there is a mild circumferential disc bulge with no spinal canal stenosis. IMPRESSION 1. There is a small to moderate focal right paracentral-right subarticular disc extrusion at L5-S1,which mildly displaces the traversing right S1 nerve root. 2. There is an annular tear with a mild to moderate left paracentral-left subarticular focal disc protrusion at L4-5,which displaces anday mildly compress the traversing left L 5 nerve root.
Asked On : Sun, 27 Jan 2013
Answers:  1 Views:  54
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Your reports are suggestive of disc bulges in the lumbar region (lower back), causing compression of the nerves in that region.

The initially treatment is with medications such as pregabalin and physiotherapy.

Those who do not improve with above (about 10% of cases) may require surgery.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Tue, 29 Jan 2013
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