This is for my father who suffers from back pain. Upon advice from the doctor, MRI has been taken and its Impression is given below. The doctor says that it could be easily healed through medicine, but going through the report makes me tensed. Can you please give an exact position of my fathers health and the seriousness in this case from this report
1(a) Central L4-L5 disc protrusion with mild indentation on thecal sac. There is moderate narrowing of bilateral neural foramina with mild to moderate indentation of bilateral exiting nerve roots(Lt> Rt). There are mild bilateral facet joint degenerative changes at that level.
(b) Diffuse L3-L4 disc bulge with mild narrowing of bilateral neural foramina. Spinal canal measurement is essentially within normal limits
2. Relatively clear cystic lesion (3.5 cm x 1.8cm) in spinal canal at S2 & S3 vertebral level with widening of spinal canal at that level. Mild communication with thecal sac is noted- S/o most probably intrasacral meningocele (D.D – Extradural arachnoid cyst)
3. SI joints show no significant abnormality
The spine problems at L3, L4 & L5 can be treated with Physiotherapy, proper ergonomics and changes in lifestyle like weight control, proper back exercises, proper footwear, proper position while sitting, sleeping, working, standing etc, prevent lifting of weights.
But if it is diagnosed as meningocele it may require surgery if not cured & if symptoms increase.
Follow your Orthopaedician's advice but also consult a neurosurgeon. Take care!
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