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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for lumbar spondyloarthropathy and vertebral wedging at L1

Hi, I m a 30 year old female suffering with severe back pain for the past few years. It has worsened after my recent pregnancy. After x-rays and MRIs these, are the finding: levoconvex curvature of lumbar spine, anterior osteophytes @ L4-5, T9-10, C6-7 and straightening from C3-C7. I was diagnosed with mild lumbar spondlyoarthropathy and vertebral wedging @ L1, also end plate sclerosis and focal spondylosis @ T9-T10. What does all of this mean and what is the best course of action for treatment? Also wondering about best plan for pain management and lifestyle changes? Thanks for your time!
Wed, 12 Jun 2019
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Neurologist 's  Response
Hi,

In short young lady, the radiology report is saying to your doctors that you are suffering from what would appear to be a moderate degree of degenerative disc and joint disease in the spinal column at various levels. You have excessive curvature to the left (Levoscoliosis) and the rest of the findings can be simplied to saying you have arthritic disease of the osteoarthritic type. That's what all the fancy vocabulary means. Best treatment options include exercise as promoted by the Arthritis Foundation of America who has an excellent website.

I advise you read it since there are also a number of conservative measures they tell you about in order to try to milk things such as water or aquatherapy as well as the utilization of the anti-inflammatory diet that is felt to possibly reduce arthritic progression of the spinal column, etc.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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