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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for spine condition

Hi, I am 50 yrs old, 5'10" and weight is 89Kgs.My MRI shows - degenerative changes are noted in cervical, dorsal & lumbosacral spine. Posterior disc bulges at C3-C4, C7-D1, posterior disc herniations at C4-C5, D5-D6, D6-D7, L3-L4 & L4-L5 and postero lateral disc herniations at C5-C6, C6-C7 are intending the thecal sac. There is anterior indentation on the cord at C5-C6, D5-D6 and D6-D7 and compression on exiting both C6-C7 nerve roots in the neural formina. Small posterior disc herniations at L5-S1 in intending bothS1 nerve roots, more on left. There is no secondary central canal stenosis. Signal characteristics of spinal cord are normal.My Neurologist suggests surgery right now. My ques. is do I really need surgery? Are there any alternative treatment with medicine and excercise?
Mon, 29 Feb 2016
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Orthopaedic Surgeon, Joint Replacement 's  Response
Dear HCM user.
I've gone through your question. You have given detailed description of the MRI report which is good. You have missed most important thing for doctors which is good history. Had you provided Complete history and your current problem, then it would have been easier to answer your question.
Disc bulge, disc herniation is not much problematic. No stenosis is good finding.
There is compression of both nerve roots of C6C7. It may need surgery or may also recover with medicines and rest. It depends upon clinical judgement of treating doctor.
Your surgeon might have advised surgery for cervical spine. You can discuss options with your doc and go ahead with treatment advised by him. If you want more detailed advice, then MRI images evaluation and clinical evaluation is necessary.
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Suggest remedy for spine condition

Dear HCM user. I ve gone through your question. You have given detailed description of the MRI report which is good. You have missed most important thing for doctors which is good history. Had you provided Complete history and your current problem, then it would have been easier to answer your question. Disc bulge, disc herniation is not much problematic. No stenosis is good finding. There is compression of both nerve roots of C6C7. It may need surgery or may also recover with medicines and rest. It depends upon clinical judgement of treating doctor. Your surgeon might have advised surgery for cervical spine. You can discuss options with your doc and go ahead with treatment advised by him. If you want more detailed advice, then MRI images evaluation and clinical evaluation is necessary.