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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Scan Report Of Spine Indicate?

I have denenerative disc disease ot lower two levels particularly at L4-5 where there is a grade 1 spondylolisthesis. Advanced osteoarthritis is evident on the apophyseal joints at this level with a left sided pars defect. What does this mean and how do you treat this I am in a lot of pain
Mon, 29 Feb 2016
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Neurologist 's  Response
I read your question carefully and I understand your concern.

That reports means that there is chronic damage to the joints and the cushioning discs which are found between your vertebrae. Some changes of this kind happen to all of us over the years, the older you are the most likely to be found. In some people these changes can be more pronounced due to genetic factors, trauma, heavy physical work etc.
As for what needs to be done, for the moment only physical therapy and over the counter antiinflammatory painkillers like Ibuprofen are recommended. Physical therapy with time will reinforce your spinal muscles, strengthening your core and better supporting the spine giving its inflammation a chance to gradually subside.
If such measures are not enough at times local injections of steroids and anesthetics may also be tried as a next step.

I hope to have been of help.
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What Does This Scan Report Of Spine Indicate?

I read your question carefully and I understand your concern. That reports means that there is chronic damage to the joints and the cushioning discs which are found between your vertebrae. Some changes of this kind happen to all of us over the years, the older you are the most likely to be found. In some people these changes can be more pronounced due to genetic factors, trauma, heavy physical work etc. As for what needs to be done, for the moment only physical therapy and over the counter antiinflammatory painkillers like Ibuprofen are recommended. Physical therapy with time will reinforce your spinal muscles, strengthening your core and better supporting the spine giving its inflammation a chance to gradually subside. If such measures are not enough at times local injections of steroids and anesthetics may also be tried as a next step. I hope to have been of help.