Suggest treatment for desiccation at L4-L5 and L5-S1 discs
Patient: there is mild exaggerated lumar lordotic curve small aterior marginal osteophytes noted there is early dessication at L4/5 AND L5/S1 discs At L4/5 level, there is a mild annular bulging of the disc causing flattened anterior thecal sac with very minimal bilateral lateral recess narrowing without any significant neural foraminal stenosis. At L5/S1 level, there is posterocentral tear with mild annular bulging causing flattened anterior thecal sac with mild bilateral lateral recess narrowing without any significant naural foraminal stenosis. Rest of the vertebrae and intervertebral discs are normal in morphology, heights and signal intensity. Early changes of facet arthropathy is seen at L4/5 and L5/S1 levels. The spinal cord and rest of the nerve roots are normal in structure and exhibits normal pattern. No soft tissues abnormality is seen. Doctor: Hello dear Your Mri report is suggesting early and minimal lumbar spondylosis. With this report you need not to worry. You have not mentioned your symptoms. As far as backpain is concerned you can get benefit with physiotherapy, avoiding stooping forward, lifting heavy objects, squatting. Treatment can be taken in the form of neuro modulator for pain like pregabalin, amitryptiline or gabapentin. Local pain reliever ointment can also be used. You will recover early if you follow the advice. You may visit a neurologist. Hope you found the answer helpful. Wishing you good health Dr Neeraj Kumar Neurologist