Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
192 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can any online doctor help me with the following results?

The MRI report of my lumbar spine has this conclusion, please explain where to from here?rineural fat signal is preserved. IMPRESSION: Multi factorial central spinal stenosis at L4/5 with associated bilateral lateral recess stenosis. Focal central and marginally left paracentral disc protrusion at L5/S1 resulting in minimal narrowing at left lateral recess but no nerve root displacement or entrapment. Considerable facet degenerative hypertrophy at the L4/5 and L5/S1 levels.
Mon, 5 Aug 2019
Report Abuse
Question is related to
Diseases and Conditions ,  
Medical Topics ,  
Neurologist 's  Response
Hi,

Your MRI report is indicating that you have some common radiographic signs of what we would generically refer to as degenerative disc disease or degenerative arthritic changes likely as a result of OSTEOARTHRITIS which is commonly seen in people who do heavy manual labor or do repetitive lifting all day long.

You likely have low back pain symptoms. With this report, I would encourage you to speak to your doctor about getting started in a PHYSICAL THERAPY program that encourages movement and stretching exercises (even though it will likely be a little uncomfortable) since these will be very good for you in the long run.

From what you've presented I do not see you as needing any type of surgery at this point. I also am not a provocative fan of "back injections" since their effects are highly variable and of relatively short duration in the patients that I see in my office and hospital practices.

Other conservative forms of treating your back condition would be medications, Ultrasound/diathermy sessions, TENS unit, Acupuncture or if that's not your cup of tea, "dry needling" and lumbar traction.

I would not encourage you to do epidurals, facet injections, vagal stimulators, or surgical procedures at this juncture but would very much promote exercise, good diet, weight loss and conditioning to strengthen core and back muscles, stop smoking (if you do), and maintain learn about keeping good posture while sitting, standing, and even walking.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Will u please interpret my baby fecalysis result fecalyis: color - yellowish; character- soft; gross evidence of blood - negative; gross evidence...

Recent questions on  Geriatrics

doctor1 MD

i have a herniated dic in my neck at L4 and L5...i also have a genetically narrow spinal cord canal. My spinal cord is being compressed. The...

doctor1 MD

my dad is 88 and had 4 bypasses. he recently had hip replacement, but now has pain in his right leg. doctor took x-rays and did a mri of his lower...

doctor1 MD

Re the safety of spinal surgery, I am age 86. Have had numerous surgeries for spinal stennosis, cervical, lumbar, etc. I have also had open heart...

doctor1 MD

I am a 23 y/o female. I have had multipul sever trama too my neck and head while growing up. I suffer from tension headaches. 9 months ago i...

doctor1 MD

I have a small case of alziemers does klonopin have any bad affects to it

doctor1 MD

Thank you. I have fibromyalgia and have issues with medications so I really don t take anything for the pain other than 3 Advil every AM for...

doctor1 MD

90 years old with 4 bad heart valves, 2 very bad. Don't want to get heart operation. Laying flat or even in a recliner I cough a lot. Can't sleep....