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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Of Lumbar Spine Showed Posterior Disc Bulge. What To Do?

Dear Doctor, My MRI on Lumbar Spine revealed the following findings can you guide and tell me the seriouness of this. At L5/S1 1.diffuse posterior disc bulge intending the thecal sac slightly touching the traversing nerve roots at lateral recess . 2.left foraminal disc bulge slightly touching the exiting root at left neural. Kindly advice regards Kaleem YYYY@YYYY
Wed, 14 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned,
Thanks for writing to us.
There is an evidence of radiculopathy. Therefore the aim has to be to reduce the neural root compression.The diffuse posterior bulge and also left foraminal disc bulge also touching the nerve roots.
There are two ways of treating this condition,
(A)Conservative/medical line of management;- Complete Bed Rest for 08 weeks with Lumbosacral Belt for support/Opioid Analgesics/ muscle relaxants/ Physiotherapy-Traction and SWD .
(B)Minimal Access Neuro Endoscopic Discectomy by an experienced Spinal /Neuro Surgeon in a Tertiary care Centre.
(C)Conventional Neuro Surgery;-Laminectomy/Discectomy with Posterior Fusion and Rib Grafting.
Kindly have an early consultation with a Neuro Surgeon ,depending upon the nearness to Hospital/Financial viability/Insurance-Mediclaim coverage etc you may decide and go ahead with treatment protocol.
Wishing you a speedy recovery,
Best regards.,
Dr Lt Cdr ASN Bhushan.

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MRI Of Lumbar Spine Showed Posterior Disc Bulge. What To Do?

Dear Concerned, Thanks for writing to us. There is an evidence of radiculopathy. Therefore the aim has to be to reduce the neural root compression.The diffuse posterior bulge and also left foraminal disc bulge also touching the nerve roots. There are two ways of treating this condition, (A)Conservative/medical line of management;- Complete Bed Rest for 08 weeks with Lumbosacral Belt for support/Opioid Analgesics/ muscle relaxants/ Physiotherapy-Traction and SWD . (B)Minimal Access Neuro Endoscopic Discectomy by an experienced Spinal /Neuro Surgeon in a Tertiary care Centre. (C)Conventional Neuro Surgery;-Laminectomy/Discectomy with Posterior Fusion and Rib Grafting. Kindly have an early consultation with a Neuro Surgeon ,depending upon the nearness to Hospital/Financial viability/Insurance-Mediclaim coverage etc you may decide and go ahead with treatment protocol. Wishing you a speedy recovery, Best regards., Dr Lt Cdr ASN Bhushan.