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Female | 52

Do I Have Lumbar Disc Bulge at L4-L5 Level?

PATIENT MRS LIAQAT REGISTRATION # NAME 28/05/2024 AGE: GENDER: 52 Years Female DATE: ADVISED BY: DR.AHMED SHAFAQAT MRI LUMBAR SPINE CLINICAL INFO: Backache. Right sciatica. TECHNIQUE: Multiplanar and multisequential non contrast MRI lumbar spinewas performed according to departmental protocol. REPORT: There is normal alignment of lumbar vertebrae. Straightening of normal lumbar curve is noted. No dislocation, compression or collapse of vertebral body noted. No focal area of abnormal signal intensity seen in the lumbo-sacral vertebrae / visible spinal cord. Conus medullaris is at L1 level. Paravertebral soft tissues show normal signal intensity. LI-L2 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L2-L3 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L3-L4 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L4-L5 level:moderate circumferential disc bulge with posterior protrusion and focal sequestration causing moderate central canal stenosis &severe narrowing of lateral recesses & neural foramina bilaterally, compressing transiting and exiting nerve roots. Spinal myopathy seen at this level. LS-S1 level: mildcircumferential disc bulge, causing mild central canal stenosis &mild narrowing of lateral recesses & neural foramina bilaterally, abutting transiting and exiting nerve roots. IMPRESSION: • At L4-L5 level,moderate circumferential disc bulge with posterior protrusion and focal sequestration causing moderate central canal stenosis & severe narrowing of lateral recesses & neural foramina bilaterally, compressing transiting and exiting nerve roots. • Lumbar myospasm.

1 Answer
Dr. Pramod Bhor

Joint Replacement Surgeon

Answered on 31st May '24

Your MRI shows a disc problem in your lower back, specifically at the L4-L5 level. This is causing pressure on nerves, leading to back pain and sciatica on the right side. It occurs when the soft material inside the disc pushes out. Treatment may include physical therapy, pain medications, and possibly surgery if severe. Make sure to follow up with an orthopedist for the best advice.

33 people found this helpful

Questions & Answers on "Orthopedic" (939)

Injury on the leg caused by stepping on a nail

Male | 4

If you ste­p on a nail, wash the spot with soap and water right away. This cleans the­ cut. Then put a new bandage on it. Che­ck the cut every day. Look for signs of infe­ction. That can mean redness, fe­eling hot, or pus coming out. If you see those­ things, go to the doctor fast. They can give you me­dicine to keep the­ infection from getting worse.

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

wrist pain alternating between both wrists, lower back pain, knee pains resembling bruising above the knees and sometimes bruise like pain in the thighs and sharp hip pain all the way to the foot (like a pulled string feeling) - most are often after overuse (phone, walking, sleeping wrong). They don’t always happen at once but sometimes all together. Other discomforts involve stabbing pain inside the foot from under when walking for too long, finger joint pains usually worse the second day after overuse and shoulder and elbow pains after sleeping slightly wrong or overuse. Occasional Tingling/numbness in fingers (I can’t feel my fingers for a few seconds sometimes) and most often stiffness in finger joints occur in the mornings. Occasionally, affected areas exhibit slight redness and warmth. Recently I’ve found that stretching the pained areas helps a lot. General tiredness persists. These symptoms have persisted for nearly a year, fluctuating in severity. There haven't been any major accidents. Tests * anti ds dna is negative * HLA-B27 is negative * Ana is positive — * RF factor negative. * Knee X-Ray shows some cartilage thinning * MRI done: report says Signal loss due to degeneration was observed in the L4-5 disc * vitamin d3 at 28

Female | 24

Answered on 2nd Aug '24

Dr. Pramod Bhor

Dr. Pramod Bhor

I want to replace knee of my mother. Please tell me about complete package and also include implant costs

Female | 68

1.6 lakhs per knee, implant cost 70k 

Answered on 23rd May '24

Dr. Dr.Narendra Medagam

My mother has pain in knee ., Knee fluid is lower she is 60 years , diabetic taking tablets . Can she take sandhi Mitra vati ..

Female | 60

Take your mother to a doctor or Ayurvedic practitioner, before starting any new medication or supplement like Sandhi Mitra Vati. This is particularly crucial for patients with pre existing conditions, like diabetes, and considering potential interactions or contraindications. 

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

Experiencing pain when I stand after sitting for a few minutes my knee started giving me pain and I unable to make my leg straight for few that instant of time.also my knee produces lot of noises in normal activities

Male | 27

4/5 physiotherapy session enough for you

Answered on 19th June '24

Dr. Moncy Varghes

Dr. Moncy Varghes

My age 21 i have problem in my knee for bike accident and my knee no movement. Can i do my knee replacement

Male | 21

Please consult orthopedist with MRI. joint replacement is not for your age. You need assessment and tendon transfer surgery

Answered on 23rd May '24

Dr. Dilip Mehta

Dr. Dilip Mehta

Hello , its Sercan from turkey istanbul ,at april i will be move to New Delhi for work and live and i wanna ask that how much does it cost ?limb lengthening surgeries ?i wanna get surgery in 10 months

Erkek | 34

Anywhere between 2 lakhs to 8 lakhs depending upon hospital and state . In Delhi it would be higher side .

Answered on 3rd July '24

Dr. Deepak Aher

Dr. Deepak Aher

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