IS IT POSSIBLE WITH THESE RESULTS TO HAVE A NERVE BLOCK? sECONDLY WHAT DO THESE RESULTS MEAN LONG TERM FOR MY BACK?
BONY ALIGNMENT IS SATISFACTORY. MILD-MODERATE DEGENERATIVE DISC SPACE NARROWINGS ARE PRESENT THROUGHOUT, WORSE AT L1/2 AND L 2/3 AND WITH SPARING OF L 3/4. LARGE BRIDGING DEGENARATIVE END PLATE OSTEOPHYTES ARE PRESENT AT THE LEFT ANTERIOR ASPECT OF L 2/3 WITH MILD-MODERATE END PLATE OSTEOPHYTOSIS AT THE OTHER LEVELS. A SMALL AMOUNT OF INRADISCAL GAS IS PRESENT AT L 4/5 AND L5/S1.
THERE IS NO VERTEBRAL BODY HEIGHT LOSS OR SUSPICIOUR BONDY LESION.
AT L5/S1 DISC LEVEL, THERE IS EARLY CONCETRIC DIS HERNIATION TOGETHER WITHY A MODERATE-LARGE LEFT -PARACENTRAL POSTERIOR DISC PROTRUSION WHICH IS AFFECTING THE LFT PROXIMAL DESCENDING S1 NERVE ROOT.
THERE IS NO OTHER NEURAL COMPROMISE SEEN, INCLUDING NO SIGNIFICANT CANAL STENOSIS OR THECAL SAC COMPRESSION. THERE IS ALSO NO EXITING NERVE ROOT COMPRESSION.
DEGENERATIVE CHANGES, AS DESCRIBED. COMPRESSION OF LEFT PROXIMAL DESCENDING S1 NERVE BY A MODERATE-LARGE POSTERIOR DISC PROTRUSION AT L5/S1
Usually posterior disc herniation or protrusion with proximal descending S1 root compression does not require nerve block as the initial treatment. The first line of treatment is usually non steroidal anti-inflammatory drugs along with physiotherapy. If this is not helpful, then epidural steroid injections or pain killers are given. If nothing helps then surgery is contemplated. On net, it is very difficult to say what treatment should be given to you. Please discuss with your doctor. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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