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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intense Lower Back Pain, MRI Showed Disc Bulge, Disc Protrusion Touching Thecal Sac. What Is The Conclusion And Treatment?

Hi doctor, i am 42 y ,female, married and have 3 kids, i made mri 2 days ago for my lower back pain according to my orthopaedic doc advice, the report was,,,, L4-L5 diffuse disc bulg L5-S1 right posterolateral disc protrusion touching thecal sac & come in contact with right S1 nerve rootearly facet joint disease at lower lumber level what can u tell me about this reprt and the treatment?
Fri, 20 Jul 2012
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Spine Surgeon,  's  Response
Hi Amal samih, The MRI report suggests that you have some degeneration of the discs in the lower spine, which is a part of the natural process of aging. Your back pain may or may not be due to those changes because about 30 to 40% of normal people without any back pain have MRI showing some disc degeneration changes at your age.
If you do not have pain running down from your low back or buttocks to the thighs and calfs, and if you do not have any numbenss or tingling sensation in your feet, and if the pain is not very severe at present, you can try some physiotherapy and excersises to tone up your back muscles and relieve pain.
I am sure your orthopedic surgeon will suggest accordingly.
Good Luck.
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Intense Lower Back Pain, MRI Showed Disc Bulge, Disc Protrusion Touching Thecal Sac. What Is The Conclusion And Treatment?

Hi Amal samih, The MRI report suggests that you have some degeneration of the discs in the lower spine, which is a part of the natural process of aging. Your back pain may or may not be due to those changes because about 30 to 40% of normal people without any back pain have MRI showing some disc degeneration changes at your age. If you do not have pain running down from your low back or buttocks to the thighs and calfs, and if you do not have any numbenss or tingling sensation in your feet, and if the pain is not very severe at present, you can try some physiotherapy and excersises to tone up your back muscles and relieve pain. I am sure your orthopedic surgeon will suggest accordingly. Good Luck.