MRI of Lumbosacral Spine

[Hadi01]

Hi, I need help to understand my mother's MRI (MRI of Lumbosacral Spine) report. Please see the report details and share your comments on it.

No fracture or collapse of vertebrae.
Circumferential posterior disc bulge at L4/L5, causing modest to marked pressure on thecal sac and neuronal compression in both lateral recesses.
Bulging annulus posteriorly at L3/L4, causing indentation on thecal sac.
No evidence of osteomyelitis.
No tumor mass is seen.
Normal paravertebral soft tissues.

[Hadi01]

Thanks Dr.Kokil for your reply. my mother is feeling extreme weakness and she is not able to move without anyone's help.I hope it can be handled through medication and exercise (as you shared) and there would be no need of surgery.
Can you please suggest any precautions for my mother to take?

Thanks again.

[Dr. Kokil Mathur]

Hi!
Your mother has bulging discs between L3-4 and L4-5, which though do not press on the spinal cord yet (just the outer covering—thecal sac), they can cause a lot of pain. This can be managed conservatively. This conservative treatment involves pain killers, anti-inflammatory medications, epidural injections, steroid injections, corsets and braces and physiotherapy. Please consult your mother’s doctor regarding this. Hope this helps. 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.