Lumbar spine

[Maddy27101985]

My dad has been suggested for an MRI of Lumbar spine.
We have got the reports with major impressions as follows:
* broad based posterior protrusion of L4-5 and L5-s1 discs.
*Diffuse bulge of L3-4 disc.
*Mild bulge of L1-2 and L2-3 discs.
*generalised gacetal arthropathy.
*Minimal retrolisthesis of L5 vertebra over S1.
*osteoporotic bones.

Please note that my dad had a history of hydrocephalus and has been operated band also a shunting has been done.

In anticipation of a quick reply with detailed explanation on the MRI report.

[Dr. A. Srivastava]

Hi,

Thank you for your question. His reports suggest that some spinal nerves (at lumbar level) may be compressing in spine by disc prolapse & degeneration or stenosis. By the reason of that nerves from the spinal cord can be irritated causing weakness in the leg, leg/thigh pain and numbness, tingling. Few persons also face generalized body weakness and numbness due to other nerve irritation on back. If he suffers continuous weakness and notice reduced strength of muscle bulk in both the legs, please arrange an appointment with a neurologist right away who will evaluate the possibilities here. These “red flags” could be indicative of compression of the spinal cord and its nerve branches and early treatment is essential if permanent damage needs to be avoided. Further referral to a physiotherapist for spinal exercises could be beneficial and may produce relief of symptoms. Hope this helps.

Take Care & Stay Healthy!!!

[caregiver222]

The report is meaningless without a patient history.

There are abnormalities in the discs. Some people have these problems for years and nothing happens.

Usually an MRI is orderered when there are pain issues, specifically with the sciatic nerve, reflected in leg and/or buttock pain.

If a nerve is impinged the general drill is to reduce inflammation ands try physical therapy first, and it fhis does not work, turn to surgical option, which is generally a procedure called a laminectomy.