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Dr. Andrew Rynne

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Got MRI of lower back for pain and it showed slip disc and bilateral spondylosis. Suggest?

I just got an mri on my lower back because I hurt it at work. I was thinking it was a slipped disk and on the mri it showed no slipped disk. it did show I have bilateral spodylolysis at the L5-S1 level with minor anterolisthesis and mild foraminal effacement bilaterally at the L3-4 and L4-5 level. im still in a lot of pain and don't know what else to do L&I wants to close my claim now
Mon, 30 Sep 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.
Your MRI spine findings can explain your symptoms of low back pain, and pain radiating to legs.
Initial treatment consists of bed rest, physiotherapy and medications.
Medications likely to be helpful for you would include pregabalin or gabapentin.
Physiotherapy measures that could help you are IFT/ultrasound/traction, etc.
If these do not help, epidural injections can be given.
In about 10% of cases, surgery may be required.
I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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Orthopaedic Surgeon Dr. Moustafa Saeed's  Response
Hi, thank you for your question.

It seems you had wear and tear in your spine, which can be treated with pain killers and physiotherapy. you can also try spinal injections.

Last option will be surgery to stabilize the spine and relieve the pressure off the nerves.

hope I have answered you adequately, but if you have more questions, please contact me again.


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Radiologist Dr. Ganesh Sanap's  Response
Hi, welcome to HCM.
Bilateral spondylosis is already diagnosed. No need of any further investigation.
You need to consult your orthopaedician for proper clinical examination. Depending on clinical findings, symptoms and MRI changes either operative or physiotherapy can be decided. However it needs prior expert opinion of your doctor.

Regards.
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