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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Recommended After Analyzing The Condition?

asymmetrical bulging disc at c5-6 and c6-7 lateral recess on left sidewith mild compression of the left lateral cord. more significant at c6-7 narrorwing of the left c6-7 neural foramen. left lateral cord impingment. What does this all mean? How serious? Will surgery be needed?
Wed, 8 Jan 2014
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Radiologist 's  Response
Hello
Thanks for writing to HCM

According to reports you have degenerative disc prolapse of spine in cervical region.
1.You have asymmetrical disc bulged disc at C5-6 and C6-7 level.
It is causing mild narrowing of neural foramen in left side more significant at C6-7 level.
There is also impingement of spinal cord in left side due to disc bulge.

Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc.

Treatment for pain 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.
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.
Get well soon.

Take Care
Dr.Indu Bhushan
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Is Surgery Recommended After Analyzing The Condition?

Hello Thanks for writing to HCM According to reports you have degenerative disc prolapse of spine in cervical region. 1.You have asymmetrical disc bulged disc at C5-6 and C6-7 level. It is causing mild narrowing of neural foramen in left side more significant at C6-7 level. There is also impingement of spinal cord in left side due to disc bulge. Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc. Treatment for pain 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. 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. Get well soon. Take Care Dr.Indu Bhushan