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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Bulge Noticed At L4,L5 A 3mm Bulge Noticed Suggest?

Hello I am a 57 yr 5'6" female with a relative good medical history until now. I fell about 3 months ago carrying water to my dogs on my back so hard but did not feel anything at the time. 07/24 if began to have a pain in my lower back and had a MRI and the findings were a 5 mm of likely acquired anterolisthesis L5 on S1
At the T12-L1 through L3-L4 levels, there is no evidence for compressive disc disease. At L4-L5, a 3 mm dis bulge is demonstrated. The spinal canal and foramina are patent. What does all of this mean, will I need surgery on my back? did all of this come from the fall? I've got to find a back doctor to help me with this, I have been wearing a back brace and it help with pain a lot. What should I do?
Fri, 26 Sep 2014
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Orthopaedic Surgeon 's  Response
Hello,Thanks for your query.After going through your query I came to know that you probably are suffering from anterolisthesis L5 on S1 according to MRI it is acquired meaning that it occurred due to fall.There are two treatment options. First option is Rest in bed for nearly two months,NUROKIND GOLD ONCE DAILY and analgesics for pain relief (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. Second option is go for surgical operation(reduction and fusion). You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care.
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What Does A Bulge Noticed At L4,L5 A 3mm Bulge Noticed Suggest?

Hello,Thanks for your query.After going through your query I came to know that you probably are suffering from anterolisthesis L5 on S1 according to MRI it is acquired meaning that it occurred due to fall.There are two treatment options. First option is Rest in bed for nearly two months,NUROKIND GOLD ONCE DAILY and analgesics for pain relief (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. Second option is go for surgical operation(reduction and fusion). You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care.