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Had discectomy. Can osteophyte indenting on the thecal sac cause inflammation and flare up of radicular pain?

I suffered a discectomy in 2004 (L5/S1) and a further discectomy in 2011 (L4/L5). Over the last 9 years the L5/S1 has changed and a MRI scan dated the 15/01/2013 shows the formation of a pointed osteophyte indenting on the thecal sac . I suffer with permanent chronic pain, but the issue is regarding flare ups with increased physical activity. My question is - could this Osteophyte indenting on the thecal sac cause inflammation and flare up of radicular pain . A straight yes or no is what im looking for. It feels fully consistent with my symptoms. You can see my scans at WWW.WWWW.WW Many thanks Phil
Asked On : Sun, 10 Feb 2013
Answers:  1 Views:  81
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Osteophyte indenting on the thecal sac may cause flare up of the radicular pain, so the answer is YES.

However, it is a minor abnormality, and does not require another surgery. Pain relief can be obtained with medications such as gabapentin or pregabalin.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Tue, 12 Feb 2013
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