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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fell From Ladder, Have Bulged Disc And Mild Disc Desiccation With Facetal Hypertrophy. What Does It Mean?

I have done a MRI and it shows Disc bulge with mild disc desiccation impinging upon the thecal sac located at the T11-T12. What does this mean. I fall off a ladder and landed on a filing cabinet. My pain is radiating around to my ribs, chest, and left breast. For some reason they did a MRI on my lumbar but not my thoracic. in my lumbar it showed L4-L5 disc bulge with facetal hypertrophy causing bilateral neuroforminal compromise and the same at L5-S1. Then says the thecal sac ends at S2 and conus termination is at L1 level. Please hep me understand more.
Thu, 27 Dec 2012
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Neurologist, Surgical,  's  Response
Hi Melissa,

Lets start from bottom! As far as where your thecal sac ends and conus terminates, there is nothing to worry because it is normal. You seem to have disc wear and tear at multiple levels. As far as the scan is concerned, the worse level is at the L4/5 and L5/S1 levels. However, the symptoms you describe cannot be explained by the T11/12 or Lower lumbar disc bulges. your symptoms should settle with simple pain killers. As far as your back is concerned, it may be useful to keep it fit and you can consider swimming or another appropriate back strengthening exercise program.

Hope this helps!
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Fell From Ladder, Have Bulged Disc And Mild Disc Desiccation With Facetal Hypertrophy. What Does It Mean?

Hi Melissa, Lets start from bottom! As far as where your thecal sac ends and conus terminates, there is nothing to worry because it is normal. You seem to have disc wear and tear at multiple levels. As far as the scan is concerned, the worse level is at the L4/5 and L5/S1 levels. However, the symptoms you describe cannot be explained by the T11/12 or Lower lumbar disc bulges. your symptoms should settle with simple pain killers. As far as your back is concerned, it may be useful to keep it fit and you can consider swimming or another appropriate back strengthening exercise program. Hope this helps!