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Is there possibility of my discs be regenerated with Degenerative changes L4/L5 and L5/S1 discs ?

My MRI report is following: Degenerative changes L4/L5 and L5/S1 discs and minimal degree retrolisthesis of L5 over S1 are noted. L4/L5: posterior diffuse disc bulge with annular tear causing minimal mass effect on anterior aspect of cauda equina and with minimal thickening of ligamenta flava causing some lateral recesses narrowing and with minimal compression n the nerve roots more on left side L5/S1: posterior left paracentral disc bulge with annular tear causing minimal mass effect on left anterior aspect of cauda equina and without significant compression on the left nerve root in the left lateral recess. My question: IS it possible that my discs can be regenerated by any chance? Can they regain their fluid (jelly like status)? What precautions should I take ? Will it ever get better or cured? or it will remain the same or get worse in my future life? Can I play , do some sports in this condition? Many thanks for providing answers. best regards, Kashif
Asked On : Thu, 10 Feb 2011
Answers:  1 Views:  245
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Physical Therapist or Physiotherapist 's  Response
Dear Kashiv,

Firstly, degenerated discs do not regain their jelly like status. In your terms the situation can become better "yes", cured "no". In my terms I would say your condition can be managed.

But, to give you that assurance it is not just the MRI report that matters as a human being is not a report. Your clinical symptoms & signs make a lot of difference in the treatment & recovery.

And yes you will be able to play sports of your choice, nut you will have to earn that healthy status by taking care of your spine for the rest of your life.

Also, I would advise to undergo a good spinal physical tharapy & rehabilitation protocol for strengthening your spine & making you pain free after a detailed examination.

You definately need to have precautions as to : (just a brief outline)

1. Keeping your spinal alignment straight maximum times
2. Using a back support while sitting on a chair.
3. Avoid lifting heavy weights.
4. Avoid the use of any type of jerky mode of transport.
5. Do not maintain one position for long (frequently change positions) to keep load off the spine.

Further precautions can be advised after you are examined.

Hoping a fast recovery for you.

Dr.Shirish Sachdeva
Orthopaedic & Neurological
Physical Therapy & Rehabilitation
Lifestyle Medicine counsellor
Answered: Fri, 11 Feb 2011
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