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What Does This MRI Report Indicate?
MRI DORSOLUMBAR SPINE STUDY PROTOCOLS: SPIN ECHO T1W AND FAST SPIN ECHO T2W HIGH RESOLUTION SAGGITAL IMAGES OF DORSOLUMBAR SPINE WERE OBTAINED ON A DEDICATED PHASED ARRAY SURFACE SPINE COIL USING 3.0 TESLA HIGH GRADIENT SYSTEM AND CORRELATED WITH T1W, T2W AXIAL AND STIR CORONAL IMAGES. FINDINGS: The study reveals mild straightening of normal lordotic curvature of the lumbar spine. The vertebral bodies are normal in size, shape, marrow signal and alignment. Intervertebral disc are normal in height and hydration. There is mild annular bulge at L4-L5 level with no significant neural compression. No significant disc bulge or herniation is noted at any level. The primary lumbar canal is adequate in diameter with no evidence of stenosis. The lower end of the spinal cord, conus medullaris and nerve roots of the cauda equina are normal. No obvious tethering is seen. The thecal sac is normal and CSF demonstrates normal signal intensity. No intra spinal mass or pre/paravertebral collection seen. Both sacroiliac joints are normal. OPINION: MR FINDINGS REVEAL MILD ANNULAR BULGE AT L4-L5 LEVEL WITH NO SIGNIFICANT NEURAL COMPRESSION. What precautions need to b taken? What to do I keep having pain severe?
Thu, 23 Mar 2023
Hello,
Your MRI findings show a normal spine and vertebrae except for a mild bulge at L4-5. There is no nerve compression. So, you don't need to take any treatment as such. The following points are to be remembered:
1) If pain is severe, you can use pain relieving medication like NSAIDs Ibuprofen or Naproxen twice daily for 14 days.
2) To avoid gastric irritation, tab. Pantop is to be taken before food.
3) If NSAIDs can't be used as in bleeding disorders or kidney failure, opioids like hydrocodone, oxycodone and Tramadol can be used.
4) Attending physical therapy sessions and strengthening the back muscles will help reduce the pain significantly.
5) Rest completely during pain phases. Avoid lifting heavy weights, standing for long durations.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Your MRI findings show a normal spine and vertebrae except for a mild bulge at L4-5. There is no nerve compression. So, you don't need to take any treatment as such. The following points are to be remembered:
1) If pain is severe, you can use pain relieving medication like NSAIDs Ibuprofen or Naproxen twice daily for 14 days.
2) To avoid gastric irritation, tab. Pantop is to be taken before food.
3) If NSAIDs can't be used as in bleeding disorders or kidney failure, opioids like hydrocodone, oxycodone and Tramadol can be used.
4) Attending physical therapy sessions and strengthening the back muscles will help reduce the pain significantly.
5) Rest completely during pain phases. Avoid lifting heavy weights, standing for long durations.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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