Diagnosed with Bulging lumbar disc and degenerative changes: Being referred to pain management clinic for possible injection - would appreicate thoughts on other therapies first or should I just go for the injection? I am 63 year old female. I tend to want to try other methods first - but not quite sure how serious this is. It does affect my daily life and I experience pain if I sit, stand or walk for any length of time - but with rest pain does get better. See MRI report below - would like any feedback from doctors if possible.
Vertebral body heights are maintained. Bone marrow signal is normal.
Spinal cord is normal in signal. The paravertebral soft tissues appear
unremarkable. The conus medullaris is normal in position. Disc bulge
at T11-T12 without neural impingement
T12-L1: No disk bulge, spinal canal or neuroforaminal stenosis
L1-2: No disk bulge, spinal canal or neuroforaminal stenosis
L2-3: Disc desiccation with disc bulge results in mild left
L3-4: Mild disc and endplate degeneration . Disc bulge without neural
L4-5: Mild disc and endplate degeneration. Disc bulge with central
disc protrusion results in mild central spinal canal, lateral recess
and neuroforaminal stenosis
L5-S1: Disc bulge with left paracentral disc protrusion and annular
tear results in and mild left lateral recess stenosis, contacting the
descending left S1 nerve roots
1. Multilevel degeneration greatest at L4-L5 where a disc bulge with
central disc protrusion results in mild central spinal canal, lateral
recess and neuroforaminal stenosis.
2. Disc bulge with left paracentral disc protrusion and annular tear at
L5-S1 results in and mild left lateral recess stenosis, contacting the
descending left S1 nerve roots.
3. Disc bulge at L3-L4 without neural impingement.
4. Disc desiccation with disc bulge at L2-L3 results in mild left
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