Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
I Am In Much Pain And Struggle To Move, Walk, Can I Have Interpretation Of These Lumbar Spine MRI Results Below?
Question: Please can I have interpretation of these lumbar spine MRI results below, I am in much pain and struggle to move, walk, get dressed, get in and out of car and this has been for 1.5 years. Please can you offer advice and treatment options available to me & also best thing for pain whilst I wait, naproxen did not help:
No Bony Injury or Traumatic Abnormality: Small Haemangioma in L2 Vertebra noted.
Mild retrolisthesis L4-L5 because of Facet joint degeneration.
Grade 1 Spondylolisthesis at L5-S1, bilateral L5 Pars defects. Vertabral endplate oedema at this level.
Disc desiccation and posterior prolapse at L4-L5 impinging on both descending L5 nerve roots in the lateral recesses.
Circumferential disc prolapse at L5-S1 compressing both exiting L5 nerve roots in neural foramina.
No spinal stenosis. No thecal sac compression.
Normal paravertebral soft tissues.
Conclusion:
Disc desiccation and posterior prolapse at L4-L5 impinging on both descending L5 nerve roots in the lateral recesses.
Circumferential disc prolapse at L5-S1 compressing both exiting L5 nerve roots in the neural foramina.
Recommendation : Specialist referral.
No Bony Injury or Traumatic Abnormality: Small Haemangioma in L2 Vertebra noted.
Mild retrolisthesis L4-L5 because of Facet joint degeneration.
Grade 1 Spondylolisthesis at L5-S1, bilateral L5 Pars defects. Vertabral endplate oedema at this level.
Disc desiccation and posterior prolapse at L4-L5 impinging on both descending L5 nerve roots in the lateral recesses.
Circumferential disc prolapse at L5-S1 compressing both exiting L5 nerve roots in neural foramina.
No spinal stenosis. No thecal sac compression.
Normal paravertebral soft tissues.
Conclusion:
Disc desiccation and posterior prolapse at L4-L5 impinging on both descending L5 nerve roots in the lateral recesses.
Circumferential disc prolapse at L5-S1 compressing both exiting L5 nerve roots in the neural foramina.
Recommendation : Specialist referral.
Brief Answer:
Detail below .
Detailed Answer:
Hello,
As per your attached report, You have degenerative spondylosis & disc disease in lumbar spine.
It occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation.
For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.
Regards.
Dr. Praveen Tayal.
Detail below .
Detailed Answer:
Hello,
As per your attached report, You have degenerative spondylosis & disc disease in lumbar spine.
It occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation.
For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.
Regards.
Dr. Praveen Tayal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
