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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diffuse Disc Bulge.

Respected Doctors, I am giving the details of MRI report dated April 01, 2011 - (1) Clinical History : Presented with h/o backaches, radiating to RT. let. (2) Sequence planned - Sagittal SE T1, Sagittal TSE T2, Axial SE T1, Axial TSE T2 (3) MRI Lumbar spine has been performed in multiple planes by using T1 & T2 weighted sequences (4) Mild osteophytic degenerative changes noted (5) Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both newral foramina at same level (6) Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both new foramina narrowing (7) The marrow of vertebra and posterior vertebral appendages shows normal intensities (8) No e/o abnormal signal itennsities in cord. (9) The lumbar canal dismeters are L1-L2 14mm, L2-L3 14mm, L3-L4 12mm, L4-L5 08 mm, L5-S1 08mm. (10 This MR study reveals - Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both neural foramina at same level, Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both neu formation narrowing.



Sir, I am feeling numbness in left foot fingers, backache, cannot sit on chair due to pain. Please advise me treatment. Is is possible without any operation, if so how.
Mon, 4 Aug 2014
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General & Family Physician 's  Response
welcome to Health care magic.
1.Weather operation is needed or not depending on the stage and % of herniation /bulge.
2.Initially exercises are prescribed for pain relief, if it doesn't work then operative procedure / interventional procedure is done.
3.Since disc is bulged and causing compression on the theca sac, and nerve compression - you are having numbness and pain.
4.I would recommend to have a flat bed, and exercises will gives relief.
5.If necessary your orthopaedics specialist may ask for a belt for less mobility of the spinal movements.
6. So please try all, if not then there is no option.
Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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Suggest Treatment For Diffuse Disc Bulge.

welcome to Health care magic. 1.Weather operation is needed or not depending on the stage and % of herniation /bulge. 2.Initially exercises are prescribed for pain relief, if it doesn t work then operative procedure / interventional procedure is done. 3.Since disc is bulged and causing compression on the theca sac, and nerve compression - you are having numbness and pain. 4.I would recommend to have a flat bed, and exercises will gives relief. 5.If necessary your orthopaedics specialist may ask for a belt for less mobility of the spinal movements. 6. So please try all, if not then there is no option. Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.