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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Scan Showed Anterior Thecal Indentation, Mild Narrowing Of Exit Nerve Foramens. Diagnosis?

My scan report impression is below L4 L5 mild posterior central & bilateral para central disc bulge causing anterior thecal indentation & mild narrowing of exit nerve foramens just abutting the transverse nerve roots without significant compression Pls give me an answer what is the problem for me? YYYY@YYYY
Sat, 27 Oct 2012
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General & Family Physician,  's  Response
L4 L5 is the Lumbar Vertebra. We have total 33 vertebra.
Cervical: 7 vertebrae (C1–C7)
Thoracic: 12 vertebrae (T1–T12)
Lumbar: 5 vertebrae (L1–L5)
Sacral: 5 (fused) vertebrae (S1–S5)
Coccygeal: 4 (3–5) (fused) vertebrae (Tailbone)
We have 31 left-right pairs of spinal nerves, each roughly corresponding to a segment of the vertebral column:
8 cervical spinal nerve pairs (C1-C8),
12 thoracic pairs (T1-T12),
5 lumbar pairs (L1-L5),
5 sacral pairs (S1-S5),
1 coccygeal pair.
So these nerves come out through the gap(foramen) in our vertebrae.
Now between two vertebrae there is a barrier(disc made of cartilage)
Your report is showing that one of those disc between L4/L5 is bulging and narrowing the space for nerveroot. Still it is in the initial stage and not compressing the nerve significantly.
If left untreated it may progress and compress the nerve which will result severe pain and function loss.
Thus consult a ORTHOPAEDIC SURGEON & PHYSIOTHERAPIST as early as possible.
Have a good health.
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  User's Response
Dr. subhash ponkiya's  Response
hello,
welcome to HCM
your scanning report shows that there is a LUMBAR DISC PROLAPSE AT L4-L5 LEVEL. but there is no significant compression. This condition will give rise to back pain, which may be radiating to lower limbs. It can be managed conservatively with help of physiotherapy
for more inquiry you may ask on subhashponkiya@gmail.com
have a good health
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Scan Showed Anterior Thecal Indentation, Mild Narrowing Of Exit Nerve Foramens. Diagnosis?

L4 L5 is the Lumbar Vertebra. We have total 33 vertebra. Cervical: 7 vertebrae (C1–C7) Thoracic: 12 vertebrae (T1–T12) Lumbar: 5 vertebrae (L1–L5) Sacral: 5 (fused) vertebrae (S1–S5) Coccygeal: 4 (3–5) (fused) vertebrae (Tailbone) We have 31 left-right pairs of spinal nerves, each roughly corresponding to a segment of the vertebral column: 8 cervical spinal nerve pairs (C1-C8), 12 thoracic pairs (T1-T12), 5 lumbar pairs (L1-L5), 5 sacral pairs (S1-S5), 1 coccygeal pair. So these nerves come out through the gap(foramen) in our vertebrae. Now between two vertebrae there is a barrier(disc made of cartilage) Your report is showing that one of those disc between L4/L5 is bulging and narrowing the space for nerveroot. Still it is in the initial stage and not compressing the nerve significantly. If left untreated it may progress and compress the nerve which will result severe pain and function loss. Thus consult a ORTHOPAEDIC SURGEON & PHYSIOTHERAPIST as early as possible. Have a good health.