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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Disc Osteophyte Complex, Disc Bulge, Annular Ear. Have SI Joint Dysfunction. What To Do?

just found out from the mri today that i have at L3l4 there is somewhat prominent left posterolateral disc osteophyte complex which narrows the left lateral and to a lesser extent the left neural foramen . at the L4L5 there is very minimal left posterolateral disc bulge with a small annular tear. Now on top of this I have si joint dysfunction. what can i do for this mess. what kind of procedures or surgeries are required. thanks carla
Tue, 10 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

The initial management of your problem is by conservative means -

* avoid lifting heavy weights as it imparts more strain on your back
* avoid forward bending activities as it will worsen the disc protrusion
* Use a lumbosacral back support to augment your spinal muscles
* Intermittent pelvic traction to cause a regression of disc
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided
* Judicious use of analgesics and muscle relaxants as needed

If all these measures fail to provide you symptom relief, then surgical decompression may be an option.

Hope this information is helpful. Good day
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MRI Shows Disc Osteophyte Complex, Disc Bulge, Annular Ear. Have SI Joint Dysfunction. What To Do?

Hi, thanks for writing to HCM. The initial management of your problem is by conservative means - * avoid lifting heavy weights as it imparts more strain on your back * avoid forward bending activities as it will worsen the disc protrusion * Use a lumbosacral back support to augment your spinal muscles * Intermittent pelvic traction to cause a regression of disc * Maintain optimum body weight,if you are obese * Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided * Judicious use of analgesics and muscle relaxants as needed If all these measures fail to provide you symptom relief, then surgical decompression may be an option. Hope this information is helpful. Good day