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Have disc dehydration, mild impingement on thecal sac, subcutaneous edematous changes noted. Explain

hello, i have a disc dehydration at L4-5..Can this be cured? Report Findings: L4-5: diffuse disc bulge with central annular tear partially extending into right lateral foramen causing mild impingement on thecal sac and left side exiting nerve routes No disc herination cord is normal pre and para vertebral soft tissue are normal. visualized SI joints- both (left right ) subcutaneous edematous changes noted involving both iliac and sacral aspect, no perpendicular soft tissue collection seen, bilateral (left right ) sacroilitis.
Asked On : Fri, 29 Mar 2013
Answers:  2 Views:  98
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

All the findings in the description suggests DEGENERATIVE DISC DISEASE. There is no way to cure the degenerative process completely but the symptoms arising out of the problem can be treated effectively.

The conservative management for the above problem is as follows -

Rest: Avoid lifting heavy weights and forward bending movements

Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute pain.

Pelvic traction: may enlarge the disc space, permitting the prolapse to subside.

Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful

If the symptoms do not resolve with the above measures, consult an orthosurgeon and follow his advice.

Hope this information is helpful. Good day
Answered: Sun, 14 Jul 2013
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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi, actually you have nothing to do with the report, if you mention your health problems, you can have relief. the report says that there is bulging of the disc with no local damage, but there is inflamation of the sacroiliac joint.
As it is there is no damage, but there is possibility of the involvement of the nerves, and pain . so consult an orthopedic surgeon and have complete treatment, to prevent damage to the nerves, and chronic pain.
Thank you.
Answered: Sun, 14 Jul 2013
I find this answer helpful
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