mri help and any suggestions on how to treat or expect
hello I've been having pain in lower back and had a mri done any suggestions would be greatly appreciated overall wanted to avoid surgery
There is disk desiccation at L3-L4 level with suggestion of an annular fussure in the posterior aspect of the disk. This level shows a broad-based posterior left posterolateral disk/endplate osteophyte complex.. which at ist mas on the the far left side measures about 7mm and is causing pressure over the anterior aspect of the thecal sac and encroaching into the left neural foramen with marked narrowing of the left neural foramen. There is also mild narrowing of the right neural foramen.
There is a mild degree of central stenosis at L4-L5 level secondary to combination of mild hypertrophic changes at facet joints bilaterally as well as a 3.55 broad-based circumferential posterior disk/endplate ostcophyte complex causing pressure over the anterior aspect of the thecal sac and encroaching into both neural foramina. there is a mild pressur over transiting both l5 nerve roots with encroachment to both neural foramina. there is a moderate narrowings of both neural foramnia
there is a marked degree of central stenosis at L5-S1 level secondarty to combination of hypertrophic changes at facet joints as well as 6mm of broad based posterior disk protrusion causing pressure over the anterior aspect of the thecal sac as well as both s1 nerve roots. moderate narrowings of both neural foramina. this level shows disk desiccation with suggestion of an annular fissure in th posterior aspect of the disk
There are two ways of going about treating this. One is a conservative management. Depending on the degree of pain and movement restriction, your doctor/neurologist/ortho specialist would devise a conservative approach based on medications, physiotherapy, lumbar corsets and exercise.
If this does not work then various surgical options can be thought about. Do discuss this 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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