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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Have Hip Pain. X-ray And MRI Normal Of Hip But Abnormal Backbone Report. Findings?

My brother was complaining of pain in his left hip for a few months now, since one of his practice kicks went wrong. We got the xray and mri done. But everything is told to be normal for the hip but problems have been detected in the backbone the report says-PIVD at L4-5 & L5-S1 level with Nerve roots compression, early lumbar spondolysis.

L4-5 & , L5-S1 altered signal intensity, reduction in height and prolapse with thecal indentation

B/L intervertebral neural foramina are significantly reduced at L4-5 level

We r soon meeting dr cj thakkar of lilavati , mumbai. I just wanted to have an opinion on the mode of treatment you think will possibly be,,, and the time that will go for th things to go back to normal...I should mention he aspires to be a model,,, which means he would want to hit th gym , of course not before hez all normal...how long would you prohibit him from gymming in this case?
Sat, 28 Sep 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The MRI report of PIVD implies posterior intervertebral disc prolapse at the level of vertebrae L4, L5 and S1.
A cartilage is present between two vertebrae.
This cartilage works as shock absorber and protects the spinal cord from any trauma or injury.
these is prolapse or displacement of this cartilagenous cushion.
The displaced cartilage is compressing the spinal nerves.
Spinal nerves emanate from the spinal cord through foramina in the vertebrae.
Compression of the spinal nerve can produce pain in the area supplied by that nerve.
For replacement of the intervertebral discs complete bed rest is required.
Bed rest on hard bed is most beneficial.
Complete recovery can take few months and you need to stay under observation of the orthopedician/ neurologist.
Consult your doctor for clinical examination, relevant investigations and thus management.

Thanks and take care
Dr Shailja P Wahal
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Have Hip Pain. X-ray And MRI Normal Of Hip But Abnormal Backbone Report. Findings?

Hello and welcome to HCM, The MRI report of PIVD implies posterior intervertebral disc prolapse at the level of vertebrae L4, L5 and S1. A cartilage is present between two vertebrae. This cartilage works as shock absorber and protects the spinal cord from any trauma or injury. these is prolapse or displacement of this cartilagenous cushion. The displaced cartilage is compressing the spinal nerves. Spinal nerves emanate from the spinal cord through foramina in the vertebrae. Compression of the spinal nerve can produce pain in the area supplied by that nerve. For replacement of the intervertebral discs complete bed rest is required. Bed rest on hard bed is most beneficial. Complete recovery can take few months and you need to stay under observation of the orthopedician/ neurologist. Consult your doctor for clinical examination, relevant investigations and thus management. Thanks and take care Dr Shailja P Wahal