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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Superimposed Right Foraminal Disc Herniation Indicate?

my mri report showed that i have l4-5 broad -based bulging annulus with a superimposed right foraminal disc herniation with annual tear. a transitional level present with partial sacralization of the l5 vetebral body. what does this mean and do i need surgery?
Mon, 1 Sep 2014
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Radiologist 's  Response
Hello
Thanks for writing to us

According to report,you are suffering from degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.Findings are early in your case.

1.At L4-L5 level,there is broad based disc bulge with annular tear and herniation disc is superimposed to right lateral neural foramen.
This is causing your symptoms.Findings are not very serious.

2.Partial sacralization of the L5 vertebral body is a normal variant.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
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What Does Superimposed Right Foraminal Disc Herniation Indicate?

Hello Thanks for writing to us According to report,you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.Findings are early in your case. 1.At L4-L5 level,there is broad based disc bulge with annular tear and herniation disc is superimposed to right lateral neural foramen. This is causing your symptoms.Findings are not very serious. 2.Partial sacralization of the L5 vertebral body is a normal variant. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurologist. Get well soon. Take Care