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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does T 12-L1, L1-2, L2-3 Levels All Have Mild Annular Bulge Indicate?

Hi just received MRI results: T12-L1, L1-2, L2-3 levels all have mild annular buldge. L3-4 mild buldging of the annulus. Hypertrophy of the ligamentum flavum with facet arthropathy, mild compression of the thecal sac. L4-5 diffuse buldging of the annulus. small central to right disk protrusion with annular tear, mild hypertrophy of ligamentum flavum and facet arthropathy. L5-S1 level diffuse buldging of annulus, small central disk protrusion, facet artropathy, mild canal stenosis and encroachment, and 1.3 m probable bone cyst in left pedicle of L5. No abnormal marrow signal seen. the conus medullaris appears in normal position. the paravertebral soft tissues appear intact. Also stateslumbar spine appears in good alignment mild scoliosis convex to the left and mild to moderate multilevel degenerative changes. HELP!
Mon, 17 Nov 2014
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General & Family Physician,  's  Response

Between two vertebrae, there's a cartilaginous disc which has outer cover of annular fibres and inner viscus fluid content called nucleus plulposus.
In old age or in case of excessive stress due to various reasons in young age these annular fibres undergo wear and tear and they become loose and overall cartilaginous disc bulges diffusely, in your case at T12-L1, L1-2, L2-3 L3-4 and L3-4 intervertebral levels.
This bulged disc comes in close proximity to spinal cord and spinal nerves behind them and it may compress spinal cord and nerves and foraminal stenosis which is a cause of pain, tingling and weakness in back and limbs depending on severity.
Spinal nervers come out from the transverse foramen present on either side on vertebral transverse process.
Physiotherapy can help to a great extent to this problem. But if it doesn't help discectomy or decompression surgery may need to be done.
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What Does T 12-L1, L1-2, L2-3 Levels All Have Mild Annular Bulge Indicate?

Between two vertebrae, there s a cartilaginous disc which has outer cover of annular fibres and inner viscus fluid content called nucleus plulposus. In old age or in case of excessive stress due to various reasons in young age these annular fibres undergo wear and tear and they become loose and overall cartilaginous disc bulges diffusely, in your case at T12-L1, L1-2, L2-3 L3-4 and L3-4 intervertebral levels. This bulged disc comes in close proximity to spinal cord and spinal nerves behind them and it may compress spinal cord and nerves and foraminal stenosis which is a cause of pain, tingling and weakness in back and limbs depending on severity. Spinal nervers come out from the transverse foramen present on either side on vertebral transverse process. Physiotherapy can help to a great extent to this problem. But if it doesn t help discectomy or decompression surgery may need to be done.