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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Showing Disc Dessication L4 L5, Annular Tear, Nerve Root Compression, Small Left Postero Lateral Protrusion. What Does The Report Read?

Pl. help me understand my MRI scan . Below are findings mentioned in MRI report. Pl. suggest me to get rid of this back pain or at least reduce the pain. Findings: 1. Disc dessication noted at L4 - L5 level. 2. Mild diffuse disc bulge with posterior annular tear seen at L4 - L5 level indending the thecal sac and mildly narrowing bilateral neuralforamina (Lt Rt) with no significant nerve root compression on either side. 3.Small left postero lateral protrusion and annular seen at L 1 - L2 levol slightly indending the anterior thecal sac focally Thanks & Regards Rama Prasad
Mon, 27 Aug 2012
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General & Family Physician 's  Response
Hello Rama Prasad and welcome to HCM
You are suffering from PIVD (Prolapsed Inter vertebral Disc) at L1-l2 and L4-L5 level. But according to report their is no significant nerve compression, so you don't need surgery but to be confirmed by clinical examination. To get rid from this problem you can go for medication with physiotherapy and some precautions. Precautions to be followed are:
1. Avoid jerky movements of spine.
2. Wear LS belt while traveling or driving.
3. Take complete bed rest in worse conditions.
4. Do regular spine exercise as advised by your physiotherapy.
5. Use hard bed to sleep.
6. Take some analgesic and apply diclo gel locally in pain.
7. Don't lift weight.
Hope this will help you.
Best wishes
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MRI Showing Disc Dessication L4 L5, Annular Tear, Nerve Root Compression, Small Left Postero Lateral Protrusion. What Does The Report Read?

Hello Rama Prasad and welcome to HCM You are suffering from PIVD (Prolapsed Inter vertebral Disc) at L1-l2 and L4-L5 level. But according to report their is no significant nerve compression, so you don t need surgery but to be confirmed by clinical examination. To get rid from this problem you can go for medication with physiotherapy and some precautions. Precautions to be followed are: 1. Avoid jerky movements of spine. 2. Wear LS belt while traveling or driving. 3. Take complete bed rest in worse conditions. 4. Do regular spine exercise as advised by your physiotherapy. 5. Use hard bed to sleep. 6. Take some analgesic and apply diclo gel locally in pain. 7. Don t lift weight. Hope this will help you. Best wishes