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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Bulging Of L3-L4 And L4-L5 Discs On MRI Suggest?

My husband is 32 years old. He is 6ft tall and weighs 235 lbs. He haad an MRI done one year ago that read as follows. L2-L3 shows some slight facet joint hypertrophy but central canal and neural foramina are patent. L3-L4 also shos some mild circumferential bulging and mild posterior degenerative changes are seen, with an anterior to posterior central thecal sac of approximately 11.5mm. Neural foramina are patent. L4-L5 there is a posterior broad-based central bulge or protrusion indenting the central thecal sac, with an anterior to posterior central thecal sac measurement of approx. 8.0mm and significant central stenosis. Superior neural foramina appear to be intact. Some facet joint hypertrohy is noted. L5-S1 there is broad-based posterior and posterior right bulging. Superior foramina are intact. The L4 right lateral nerve is in close proximity to the L4 right lateral bulging disc. Small focal area of high signal in the posterior disc is suggested on T2 images. Anterior to posterior central thecal sac is 11.0mm. Could you please tell me what this means is English? He has had a 12 ft fall since this MRI and experiences severe back pain as well as pain in his legs and hips. He also experiences numbness and tingling in his legs and has to walk hunched over and limping some. In your opinion, would surgery possibly help this?
Tue, 5 May 2020
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Orthopaedic Surgeon 's  Response
Hello,

It simply means that there is a displacement of disc which is compressing the nerve root at various levels. go for the surgery as it will definitely help.

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

Take care

Regards,
Dr. Jaideep Gaver
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What Does Bulging Of L3-L4 And L4-L5 Discs On MRI Suggest?

Hello, It simply means that there is a displacement of disc which is compressing the nerve root at various levels. go for the surgery as it will definitely help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Jaideep Gaver