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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does X-ray As Lumbo Sacral Spine AP Suggest?

hi doc,i am 38yrs old male. my x-ray Lumbo-sacral spine AP / Lateral states :evidence of osteophytes at L1 L3 L4 vertebrae with loss of normal curvature of Lumbo-sacral spine, Intervertebral disc space narrowing is seen from D12 to L3 levels. Impression : Early degenerative changes.Suggest clinical correlation.
Mon, 23 Jun 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

You have degenerative disc disease of lumbao-sacral spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.
Degenerative changes are suggested by presence of osteophytes and disc space narrowing from D12 to L3 level.
Loss of normal curvature of lumbo-sacral spine may be due to spasm of paraspinal muscles.

You need MRI of L/S spine for proper evaluation of nerves.
Majority of the cases of degenerative spine disease are benefited by physiotherapy.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.

Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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What Does X-ray As Lumbo Sacral Spine AP Suggest?

Hello Thanks for writing to HCM You have degenerative disc disease of lumbao-sacral spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. Degenerative changes are suggested by presence of osteophytes and disc space narrowing from D12 to L3 level. Loss of normal curvature of lumbo-sacral spine may be due to spasm of paraspinal muscles. You need MRI of L/S spine for proper evaluation of nerves. Majority of the cases of degenerative spine disease are benefited by physiotherapy.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. Hope i have answered your query. Take Care Dr.Indu Bhushan