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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Mild To Moderate Bilateral Foraminal Stenosis At This Level Indicate?

Trying to understand my husbands recent MRIs. Report states: At L-2-L3 mild disc bulging. At L3-L4 mild disc bulging. Mild facet arthropathy. Mild right foraminal stenosis. At L4-L5 small papacentral disc protrusion without canal stenosis. Left lateral recess stenosis, Mild bilateral foraminal stenosis. Mild caudal migration measuring 6mm. At L5-S1 central to left paracentral disc protrusion causing mild left lateral recess stenosis. mild facet arthropathy. mild to moderate bilateral foraminal stenosis at this level. What does all this mean?
Tue, 26 Aug 2014
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Radiologist 's  Response
Hello
Thanks for writing to us

According to report,you are suffering from degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.At L2-3 level,there is mild disc bulge.

2.At L3-4 level there is mild disc bulge associated with mild facet(bony joints)arthropathy.It is also causing mild stenosis of right lateral neural foramen(through which nerve roots exit) .

3.At L4-L5 level there is small para central disc protrusion without central canal stenosis.There is also stenosis in left lateral recess and mild bilateral lateral neural foramen stenosis.

4.At L5-S1 level there is central to left paracentral disc protrusion and it is causing mild left lateral recess stenosis,mild facet arthropathy and mild to moderate bilateral lateral neural foramen stenosis.
This is causing your symptoms.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
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What Does Mild To Moderate Bilateral Foraminal Stenosis At This Level Indicate?

Hello Thanks for writing to us According to report,you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.At L2-3 level,there is mild disc bulge. 2.At L3-4 level there is mild disc bulge associated with mild facet(bony joints)arthropathy.It is also causing mild stenosis of right lateral neural foramen(through which nerve roots exit) . 3.At L4-L5 level there is small para central disc protrusion without central canal stenosis.There is also stenosis in left lateral recess and mild bilateral lateral neural foramen stenosis. 4.At L5-S1 level there is central to left paracentral disc protrusion and it is causing mild left lateral recess stenosis,mild facet arthropathy and mild to moderate bilateral lateral neural foramen stenosis. This is causing your symptoms. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurologist. Get well soon. Take Care