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Explain the meaning of Lumbar scoliosis, Marked end plates degenerative changes and disc protrusion

hello Dr.s Please I need your help in explaining the below report: - Lumbar scoliosis is seen. - Marked end plates degenerative changes of L2 - L3 are noted. - There is a disc protrusion at L2 - L3 with right posterolateral osteophytes and right L3 nerve root . - A disc protrusion is seen at L3 - L4 extending into the left neural foramen. - A disc protrusion is seen at L4 - L5 without nerve roots compression. - Facet joints degenerative changes of L4 - L5 and L5 - S1 are seen.
Asked On : Fri, 29 Mar 2013
Answers:  1 Views:  22
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

To put it in a very simple description, all the findings in your description suggests "WEAR and TEAR" of the lumbar spinal architecture secondary to stress and strain imparted on them.

Don't panic by the high sounding terminology given in the description. Your condition can be managed conservatively by following means -

* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.

Hope this information is helpful. Good day
Answered: Fri, 19 Jul 2013
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