Kindly help explain in laymen term - MRI report

[merry_me]

i am quite confuse when i read the MRI report. Need help on explaining it to me on normal human term.

Sagittal FSE T1 and T2 W scan done. Axial FSE T1 and T2 W scan donw at L3-4 to L5-S1. Sagittal T1 Fat sat scan done pre and post GD. Axial T1 fat sat scan done post GD.
Signal intensities of vertebral bodies and endplates appear normal. No evidence of infective or metastatic lesion. Lower spinal cord and conus normal.
There is no mass lesion of the spinal cord,conus or nerve roots with no enhancing lesion seen.
Significant grade 1 spondylisthesis at L5-S1 with gross degenerative change. Small disc protrusion just indent the thecal sac. No central spinal canal stenosis or nerve root impingement seen.
Small central disc protrusion at L4-5 mildly indenting the thecal sac. No spinal canal stenosis or nerve root impingement.
Other disc levels are normal. Thecal sac otherwise normal.

IMP: NO spinal canal mass lesion.
Significant grade 1 spondylistesis L5-S1 with gross degenerative change. No central spinal canal stenosis or nerve root impingement seen.
Small central disc protrusion L4-5 mildly indenting the thecal sac. No spinal canal stenosis or nerve root impingement.

can someone explain to me what the report means?

What are the options of treatment?

[Dr. Kokil Mathur]

Hi!
The MRI mainly indicates a small herniated disc at L4-L5 and degenerative changes between L5 and S1. Fortunately there is no spinal cord or spinal nerve compression. There may be radiculopathy causing the pain. The treatment is conservation with non-steroidal anti-inflammatory pain killer, manual traction, physiotherapy, lumbar corset etc. Please consult your doctor regarding this. 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.

[merry_me]

hello. Thank you so much for your reply.

so, will chiropractic and physiotherapy treatments helps?

[Dr. Kokil Mathur]

yes, to some extent they should--if designed and executed well.