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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had MRI Of Spine For Disc Desiccation. Findings?

im 30 weight 117kg MRI shows at L4/5 disc desiccation minor diffuse disc buldge including a a small central component minimal flaval hypertrophy
at L5/S1 posterocentral disc bulge minor indentation of the right anterior aspect of thecal sac minimal flaval hypertrophy early facet joint OA at this level what does it mean in laymans term and what is the best treatment as i cant even function day to day activities i have 3 young kids
Wed, 25 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

All the MRI findings in the description suggest degenerative changes in the Lumbar spine. As your disc bulges are only mild, a course of conservative management will be helpful.

The management for this condition involves
* avoid lifting heavy weights as it imparts more strain on your back
* avoid forward bending activities as it will worsen the disc protrusion
* Use a lumbosacral back support to augment your spinal muscles
* Intermittent pelvic traction to cause a regression of disc
* As you are Obese, try to reduce your body weight
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.

Hope this information is helpful. Good day
* Judicious use of analgesics and muscle relaxants.
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Had MRI Of Spine For Disc Desiccation. Findings?

Hi, thanks for writing to HCM. All the MRI findings in the description suggest degenerative changes in the Lumbar spine. As your disc bulges are only mild, a course of conservative management will be helpful. The management for this condition involves * avoid lifting heavy weights as it imparts more strain on your back * avoid forward bending activities as it will worsen the disc protrusion * Use a lumbosacral back support to augment your spinal muscles * Intermittent pelvic traction to cause a regression of disc * As you are Obese, try to reduce your body weight * Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. Hope this information is helpful. Good day * Judicious use of analgesics and muscle relaxants.