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What Does Diffuse Disc Bulge Associated With Mild Degenerative Posterior Offset At L3/4 Level Means?
Question: what does this mean
"broadbased disc protrusion at l4/5 level causing mild thecal sac indentation and possiblu compressing the traversing l5 nerve roots in the lateral recesses.. Diffuse disc bulge associated with mild degenerative posterior offset at L3/4 level. Correlate for the clinical relevance of these findings..
"broadbased disc protrusion at l4/5 level causing mild thecal sac indentation and possiblu compressing the traversing l5 nerve roots in the lateral recesses.. Diffuse disc bulge associated with mild degenerative posterior offset at L3/4 level. Correlate for the clinical relevance of these findings..
Hello,
Thanks for posting your query.
Your MRI findings are suggestive of a degenerative disc disease at the level of L3-L4 and L4-L5. There is possible mild nerve root compression of L5 fibers due to the bulging disc. These are progressive age related degenerative changes.
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Thanks for posting your query.
Your MRI findings are suggestive of a degenerative disc disease at the level of L3-L4 and L4-L5. There is possible mild nerve root compression of L5 fibers due to the bulging disc. These are progressive age related degenerative changes.
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
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
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