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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Small Marginal Anterior Osteophytes Are Seen At All Lumber Levels Mean In MRI

Hi there , I ve been having pain in my lower back and right leg (right leg the pain has been bad since august 2013 , while sneezing and coughing . Though Not much of pain in the back) . I just got an MRI and in the report it says the following : 1. Lumberisation os S1 is seen 2. small marginal anterior osteophytes are seen at all lumber levels 3. No t2 STIR hyperintense focus is seen. 4. Diffuse disc bulge is seen at L5-S1 level indenting the theca and causing bilateral mild neural foraminal senosis. No significant spinal canal stenosis is seen . The disc is abutting the bilateral traversing s1 nerve root . 5. Diffuse disc bulge with right paracentral protrusion is seen at s1-2 level . indenting the theca and causing moderate right neural foraminal stenosis . The disc is imping the right traversing S2 nerve root . The spinal canal at this level measures 7.2mm . Can you tell me if this is something very serious for an surgery ? or would time heal it ? Cause the pain in my right leg is alot while sneezing and coughing and i find it very hard to sit on sofas and any cahir designed for comfort . I am unable to touch my toes when i bend down (my hands reach only till my knees) . And I am unable to keep my right leg straight . Could you kindly advice me for the above problem ? Regards, Jackie
Wed, 14 May 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

There is degeneration of lumbar spine disc between L 5 and S 1. This is resulting in the disc herniating between the bones. The nerve roots pass through these neural foramina and you might have severe nerve root compression at that level. There is also a bulging disc at level ?S 1 - S 2 (due to lumbarisation of S 1). The nerve pain may be controlled with restricted physical activity and pain relief medication. Please do not do heavy physical activity till you are comfortable.
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What Does Small Marginal Anterior Osteophytes Are Seen At All Lumber Levels Mean In MRI

Hi, Thanks for writing in. There is degeneration of lumbar spine disc between L 5 and S 1. This is resulting in the disc herniating between the bones. The nerve roots pass through these neural foramina and you might have severe nerve root compression at that level. There is also a bulging disc at level ?S 1 - S 2 (due to lumbarisation of S 1). The nerve pain may be controlled with restricted physical activity and pain relief medication. Please do not do heavy physical activity till you are comfortable.