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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Back Pain. MRI Shows Lumbar Spondylosis And Bilateral Paracentral Herniation. What Has Caused This Problem?

Dear Doctor, My Husband is 42 yrs old and has been having backache since 5-6 yrs. 2 days before we got the MRI scan done & following is the result: • small posterocentral and bilateral paracentral herniation of L4-L5 disc indenting L5 nerve roots on both side. • small left Para central herniation of L5-S1 disc indenting the left S1 nerve root. • lumbar spondylosis . I m unable to understand these medical terminologies. our doctor has said that he had a mild stroke and I m very worried...please let me know if that was really stroke which has caused this problem or it is just spine/ neuro disorder.. Kind regards, Geetha
Wed, 16 Jan 2013
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Orthopaedic Surgeon,  's  Response
Hello, may be your doctor is trying to tel you in lay terms about the weakness caused to your husband due to disc herniation. Discs are cushions between two vertebra( back bone) which slip out from their places due to various reasons, ( e.g like lifting heavy weights, strain) and press on the nerves which are running just behind the disc and which give strength to our legs. So, as per the MRI its a neurological problem and not a stroke. You should get him physically checked from a orthopedic or a neurosurgeon and let them take a call whether he can be managed by conservative methods, ( like medications, physiotherapy) or if he needs a surgery. Take care.
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Have Back Pain. MRI Shows Lumbar Spondylosis And Bilateral Paracentral Herniation. What Has Caused This Problem?

Hello, may be your doctor is trying to tel you in lay terms about the weakness caused to your husband due to disc herniation. Discs are cushions between two vertebra( back bone) which slip out from their places due to various reasons, ( e.g like lifting heavy weights, strain) and press on the nerves which are running just behind the disc and which give strength to our legs. So, as per the MRI its a neurological problem and not a stroke. You should get him physically checked from a orthopedic or a neurosurgeon and let them take a call whether he can be managed by conservative methods, ( like medications, physiotherapy) or if he needs a surgery. Take care.