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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Can Any Online Doctor Help In Reading MRI Report?

wat does it mean when your mri report says there is a left paracentral and lateral disc/osteophyte protrusion. there is flattening of the spinal cord. there is narrowing of the left lateral recess with probable nerve root compromise. wat does this all mean?
Thu, 6 Feb 2014
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Radiologist 's  Response
Hello
Thanks for writing to us

According to history you have degenerative disc prolapse of spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

1.There is disc prolapse in left para central position and it is causing flattening of spinal cord and disc-osteophtye complex is causing narrowing of left neural canal with possibility of nerve root compression.Report doesn't mention level of prolapse and nerve compression.

Treatment for degenerative lumbar disease includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
In acute cases,ideally physiotherapy should be started after pain subsides .
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc.
Treatment can be planned after consultation with neurosurgeon.

You should also modify your life style like don't abruptly bend forward and avoid standing for long time.Don't lift heavy objects.

Get well soon.

Take Care
Dr.Indu Bhushan
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Can Any Online Doctor Help In Reading MRI Report?

Hello Thanks for writing to us According to history you have degenerative disc prolapse of spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.There is disc prolapse in left para central position and it is causing flattening of spinal cord and disc-osteophtye complex is causing narrowing of left neural canal with possibility of nerve root compression.Report doesn t mention level of prolapse and nerve compression. Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. In acute cases,ideally physiotherapy should be started after pain subsides . Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc. Treatment can be planned after consultation with neurosurgeon. You should also modify your life style like don t abruptly bend forward and avoid standing for long time.Don t lift heavy objects. Get well soon. Take Care Dr.Indu Bhushan