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L4-L5-S1 Problem

Started by ARINDAM on 06/30/2017 1:35am

Hello Sir,

I am Arindam Khanra from WEST BENGAL, INDIA.I am a very poor family. My mother and father are farmer.
I am writing this to you for because I want a suggestion form you for my Mother.
My mother is 44 years old. Since 2015 she getting feel very pain in her whole body like Spinal Cord, Leg, Knee, Neck, and left side of the body. She didn't stand or walk more than 10 to 15 minutes.
Since 2015 we consult all typeople of neurologist but they didn't improve my mother pain. Few days ago we consult an Orthopaedic surgen. He advice us to do MRI. After seeing MRI report he told us there was a problem in spinal cancel.

MRI OF LS SPINE
ECHo T1 w AND FAST SPIN-ECHO T2 w SAGITTAL LMAGIES o LUMROSAcR WERE OBTAINED ON DEDICATED QUADRATURE RODY COIL AND CORRE T2W AXLAL IMAGES]
here is straightening of L.S.Spine.
Marginal O A Changes seen in Lumbar vertebrae.
Disc desiccation seen at LA-L5 & L5-si levels.
There is evidence of postcrior disc bulge seen at L4- L5-S1 discs level causing compression of thecal sac nerve roots in the lateral recess.
Vertebral bodies and posterior elements in the lumber region reveal normal MR anatomy and signal intensity on T1 and T2 sequences.
Rest of the intervertcbral discs reveals central hyperintense nucleus pulposus and hypointense annulus fibrosus onT2 weighted images.
Rest of the Spinal canal reveal normal dimensions.
Conus ends at L1.
Visualized dorsal cord is normal.
No paravertebral pathology is seen.
PRESSION:
Features are suggestive of Disc desiccation with Posterior disc buige at L4-L5 & L5-S1 level causing compression of thecal sac and b/1 neural foraminal nerve roots in the lateral recess.
No cord/connus compression or abnormal signal intensity within the cord.
AP Dimensions of spinal canal in mm are
L1-2= 14mm, L2-3=15mm,L3-4= 13mm, L4-5= 07mm,L5-S1=09mm)
After seeing MRI report he told us to an surgery.
Sir I wanted to know from you that if we do not do surgery and if we concentrate on medicine and some physiotherapy then how much improve my mother.

Please Sir give me an suggestion on it.I will obligue to you.

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Hello, Arindam--thank you for sharing your mother's experience.

Would you be able to see a different doctor to confirm whether surgery is the best option? You can bring your mother's MRI results to a different physician for his/her recommendation. This article has helpful information about getting a second opinion that we hope is useful ( Second Opinions: Five Things About This Patient Right ).

In most cases, spine surgery isn't the only answer--and your mother may be able to find relief with more conservative therapies. Be open with the doctors you see about your desire to go a non-surgical route, and ask for what level of relief your mother can realistically expect if you don't have surgery. If surgery is truly the best option, make sure you ask about the risks and benefits.

We wish you and your family the very best!

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