What Does The Result Showing L4-5 Having Minimal Annular Bulge And Degenerative Facet Joint Indicate?
At L4-5, there is minimal annular bulge, and degenerative facet joint changes bilaterally with narrowing and hypertrophy, mild ligamental thickening, and mild impression on the underlying thecal sac; no significant posterior disc herniation or central spinal canal stenosis is identified.
According to MRI report patient is having degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.
1.At L4-5 level there is minimal annular disc bulge with hypertrophic changes in the facet joints bilaterally. There is mild thickening of posterior longitudinal ligament. There is no significant posterior disc herniation or central spinal canal stenosis.
Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon.
Take Care Dr.Indu Bhushan
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What Does The Result Showing L4-5 Having Minimal Annular Bulge And Degenerative Facet Joint Indicate?
Hello Thanks for writing to us According to MRI report patient is having degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L4-5 level there is minimal annular disc bulge with hypertrophic changes in the facet joints bilaterally. There is mild thickening of posterior longitudinal ligament. There is no significant posterior disc herniation or central spinal canal stenosis. Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan