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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for vertebral problem

I just got my MRI back and it says I have a problem in my l4 and l5 vertebrae. it says I have a protrusion type postural laterally displacing the proximal left l4 nerve root and that I have a neuro compression vest herniation in a shallow bulge with focal neuro compression its acquired midline with lateral recess in pyramidal stenosis and it can be seen well on the sagittal image in there is also a shallow annular bulge on the s1. please let me know how f***** up my back is now.
Tue, 5 Jan 2016
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Neurologist, Surgical 's  Response
Hello and thanks for using HCM.

I have read your query and understand your concerns.

MRI findings are consistent with herniated disc disease of the lumbar vertebral column.

Since, there is just one level of herniated disc and only one nerve root compressed, the situation is not so severe.

Treatment is possible too, and includes NSAID drugs, physical therapy with the aim of reducing joints loading and strengthen lumbar muscles, spinal injections and if these fail to improve your condition, surgery, depending on your symptoms ( mainly the pain level ).

Hope you found the answer helpful.

Take care.
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