Degenerative Disc Disease

The normal degenerative changes in the spinal discs that cause pain is called degenerative disc disease. The symptoms include lower back pain and pain in the upper thigh. The pain gets worse on bending and sitting down, and you feel better on changing position or on lying down.

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Please suggest the best treatment option for sciatica.

Query: Hi doctor, My father had sciatica on his lower left leg and back pains. This has continuously happened for the last five months. In the past two years, it only pains periodically. What are the best options of treatment, without surgery or minimally invasive surgery?   Read Full »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. The MRI (magnetic resonance imaging) shows the lumbar spine's degenerative disease, mainly at the L45, L5S1 level. The main indications for surgery are as follows: Presence of neurological deficits (i.e., weakness of legs or numbness of legs or numbness or tin...  Read Full »

Can you please interpret my MRI of the spine reports?

Query: Hi doctor, I have been experiencing pain or discomfort in my left-hand side. Almost from the neck up to the leg. My doctor advised me to take MRI total spine. The conclusion of the results was: 1. Degenerative cervical disc disease. 2. Disc bulge indenting the theca at c4/c5. 3. Disc protrusion ...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have been suffering from pain in the neck that radiates to the left hand and the leg. According to the result of the investigations that are provided here, your MRI of the spine has r...  Read Full »

I have left leg sciatica with a referred pain down the heel. Will surgery help?

Query: Hi doctor, I have left leg sciatica. There is no back pain, but there is a referred pain down to the heel. I have recurring flare ups once in every six to eight months. I am currently taking Advil 3200 mg per day and ice. I feel great once the Advil kicks in. I got a selective nerve block on L5-S1 b...  Read Full »


Dr. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. I understand your symptoms. Before we go ahead and discuss the MRI, I would like to know some more clinical details. You said pain in the left leg. I would like to know here that which aspect of your leg is it. Either is it in the inner part or outer part or front or b...  Read Full »

Kindly examine my MRI report and suggest the cause for back pain.

Query: Hi doctor, Other than Bell's palsy, I have a problem of back or neck pain now. In fact, this has been going on for a few months now. More recently, the right of the back (lower back and hip) has been causing a lot of pain. I got an MRI of spine done four weeks ago. I am attaching the report here fo...  Read Full »


Dr. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. Regarding your new symptoms, they are due to degenerative changes in your spine that is, wear and tear after usage (attachment removed to protect patient identity). The changes are there in the whole of your spine, maximum at the neck than at the lower back. There is no ...  Read Full »

Why do I have sciatica pain while walking and standing, and no problem while sitting?

Query: Hi doctor, I have sciatica on the left side. I have pain when walking or standing for a long period of time. I have no pain when sitting. Bending over to stretch and inversion help take the pain away. I had a problem for multiple years. Physical therapy and weight loss have helped, but there is sti...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to cliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Your MRI (magnetic resonance imaging) lumbar spine shows degenerative vertebral and disc changes in multiple levels, and there is acute edema in the endplates of L5 to S1 vertebral levels. Disc bulges are c...  Read Full »

Does my CT scan show spinal stenosis?

Query: Hi doctor, I feel like there is an ice pick in my back at my T4 and T5 region. I had cervical disc replacement three months back for the C5 and C6 area. Do you see any canal stenosis in this CT scan? Is there a difference in the thickening of the ligamentum flavum and calcification of the ligamentu...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Images (attachment removed to protect patient identity) shared are of the CT (computed tomography) cervical and upper thoracic spine from C1 to T4 vertebral levels. Answers to your questions are following....  Read Full »

What could be the cause of my severe chronic back pain?

Query: Hi doctor, I am 38 years old, and I am not overweight. Can you explain what this letter means, please? Multilevel heterogeneous marrow signal changes note that follow fatty marrow signal in articular lower thoracic, lumbar, and sacral spine follows fat signals. On the lower spine, L5/S1 showed mild...  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. I can only explain what had been written in the report (attachment removed to protect patient identity). As I do not have the films to see, it is an interpretation of an interpretation (also, I gather that neurologist is not convinced about something and wants to rev...  Read Full »

Can disc hernia cause issues with hands and legs?

Query: Hi doctor, I have a herniated disk in the neck area. Later, my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had ano...  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. You have mentioned herniated disc in your neck region with right upper limb symptoms and also associated bilateral thigh symptoms, which we call as paresthesias. But, my main focus is on the symptom of difficulty in writing, including accuracy issues, which definitely ...  Read Full »

Does my wife require surgery?

Query: Hi doctor, My wife, who is 43 years old, is feeling loss of skin sensation on the lower part of the legs. This feeling has started 4 years ago. But, it did not bother her that time. Two years ago, we consulted a neurologist and he prescribed medicines, which brought her relief. She stopped taking me...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com.  I have gone through your query with diligence and would like you to know that I am here to help you. Our body parts undergo wear and tear as we age. This is called degeneration. This degeneration varies from person to person. Some people have degeneration in some organs...  Read Full »

Is fusion surgery a good option for disc extrusion?

Query: Hi doctor, Four years before, I met with a car accident with no external injury. After a week, I started getting pain in my right buttock and calf area. Later, I was recommended for an MRI and found it was L4-L5 disc extrusion. I underwent the microscopic discectomy the same year. Now, for the pas...  Read Full »


Dr. Palanikumar Chellamuthu

Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. A few observations are as follows. Your pain is on the right side and the MRI (date of examination not visible) says about the disc with stenosis more on left side (attachment removed to protect patient identity). Kindly inform me about any neurologic defects that your do...  Read Full »

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