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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Treatment And Medication Cause Permanent Damage To Ligamentum Flavum Hypertrophy And Disc Extrusion?

I have multilevel degenerative changes resulting in varying degrees of neuroforaminal and central canal narrowing most pronounced at l4-l5 and l5-s1. left paracentral disc extrusion at the l5-s1 level appears to obliterate the left lateral recess with disc material abutting the decending left s1 nerve root. also at the l5-s1 level there is a broad based diffuse disc buldge and bilateral facet and ligamentum flavum hypertrophy with superimposed left paracentral disc extrusion. I have had pain for the last year and a half,treated with medication only can this condition cause any perminate damage?
Thu, 2 Feb 2017
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Physical Therapist or Physiotherapist 's  Response
Hello,
You have nerve compression of S1 root and forminal narrowing at L5 -S1 level.Also there are degenerative changes at other levels.If proper exercise and precautions are not taken then the condition can worsen like numbness and tingling or loss of sensation orlossof strength in your lower limbs which will lead to difficulty in walking and using your lower limbs in daily activities
Some of the precautionary measures are - avoiding forward bending, lifting heavy weights, avoid jerky movements, following ergonomic principles.
some activities like walking, swimming,yoga will help in maintaining muscle strength.
Also physiotherapy treatment will help you.
hope this helps you
thank you
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Can Treatment And Medication Cause Permanent Damage To Ligamentum Flavum Hypertrophy And Disc Extrusion?

Hello, You have nerve compression of S1 root and forminal narrowing at L5 -S1 level.Also there are degenerative changes at other levels.If proper exercise and precautions are not taken then the condition can worsen like numbness and tingling or loss of sensation orlossof strength in your lower limbs which will lead to difficulty in walking and using your lower limbs in daily activities Some of the precautionary measures are - avoiding forward bending, lifting heavy weights, avoid jerky movements, following ergonomic principles. some activities like walking, swimming,yoga will help in maintaining muscle strength. Also physiotherapy treatment will help you. hope this helps you thank you