Advise needed for this MRI impression

[copperhouse]

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This MRI report is of one of my friends. Can anybody suggest whether the patient need to undergo surgery, and if yes...which are the good places to get it done (preferably around Houston). Thanks !!

MRI report of the Lumber Spine



At L5-S1, there is a broad- based central/right paracentral protrusion protruding from annuals by approximately 6mm deforming the right greater than left S1

Nerve root sleeve and compromise of the canal with a small degree of central stenosis and right greater than left lateral recess narrowing.



Impression:

Central/right paracentral protrusion of 5-6mm at L5-S1 deforming the right greater than left S1 nerve root sleeve with central stenosis

of small degree and right greater than left lateral recess narrowing.

 

[betz]

One cant tell if surgery is indicated by simply looking at an MRI report. This is the problem that is developing with spinal surgery. 🙄 Its not for everyone, but everyone is getting it. You need to know the patient's symptoms, duration of the symptoms, etc. The first step is conservative treatment like PT, steroid injections, etc. Back surgery is the last thing that someone wants done, and needs to be sure that all other treatment options has failed.......Plus, I wouldn't be asking for surgical advice on a student forum.

 

[Careofme]

I agree. This is one case where you should treat the *patient/symptoms* and not the tests. From my minute experience thus far, start with conservative therapy first and only if that fails or does not provide relief of *symptoms* are more aggressive interventions (surgery) indicated. See a neurologist, pain specialist, physical medicine & rehab/OMM specialist first and see what they reccommend or can offer. In many cases, surgery is a last resort. However, if your friend experiences any disturbances in bowel or bladder function go to the ED.

 

[Cajunmale]

Impressions Can Someone Help Me I Do Not Understand My Problems 1 Previous Interbody Fusions At C5-6and C6-7levels. 2mild Posteroir Bulging Of The Annulus Fibrosis Of The C4-5 Disc But No Focal Herniation Or Protrusion. 3 No Spinal Stenosis Or Severe Intervertebral Foraminal Narrowing Noted I Need To Know What This Means Thank You

 

[hans19]

Impressions Can Someone Help Me I Do Not Understand My Problems 1 Previous Interbody Fusions At C5-6and C6-7levels. 2mild Posteroir Bulging Of The Annulus Fibrosis Of The C4-5 Disc But No Focal Herniation Or Protrusion. 3 No Spinal Stenosis Or Severe Intervertebral Foraminal Narrowing Noted I Need To Know What This Means Thank You

Ask your doctor to explain what this means. This forum is not meant for medical advice or diagnosis.