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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Report Mean?

Sir I am suffering for backpain which spread along rt.leg with a pulling sensation of of the leg at standing or walking I have done MRI reports as follows pl. suggest which speacilist should I require or which medicine can it cursble Reports: 1)Lumber lordosis is mildly reduced 2)Modic type ll changes are noted in the posterior corners of L4 and L5 3)disc desiccation is noted at L3-L4 4)disc height reduction is noted inL4-L5 5)L3-L4 disc shows annular tear, broad based posterior protrusion and central extrusion of size (0.5×0.5cm)causing thecal sac indentation (AP canal diameter of 7.3mm) bilateral lateral recess stenosis(L R)bilateral desending nerve root indentation with left neural foraminal fat effacement..6)L4-L5 disc shows annular tear,broad based posterior protrusion and central extrusion of size approx 0.7cm×0.7cm is noted causing thecal sac indentation canal stenosis (AP canal diameter of 7.6 mm)bilateral lateral recess stenosis bilateral desending nerve root indentation with bilateral neural foraminal fat effacement 7)L5-S1 disc shows broad based posterior protrusion causing thecal sac indentation. Other disc appears normal in MR morphology Additional: Small sclerotic foci in secrum on left side.
Wed, 24 Sep 2014
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Orthopaedic Surgeon 's  Response
Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from lumbar disc prolapse.There are two treatment options.
First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics . This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy).You can see orthopedic surgeon for it.
I think your query answered.Welcome to any follow up query
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What Does This MRI Report Mean?

Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from lumbar disc prolapse.There are two treatment options. First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics . This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy).You can see orthopedic surgeon for it. I think your query answered.Welcome to any follow up query