Q. Can you look into my back MRI and tell me what I should do next?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by Dr.Sowmiya
This is a premium question & answer published on Sep 05, 2017 and last reviewed on: Jan 25, 2022

Hello doctor,

I have a back and related pain for five weeks. I had a discotomy 17 years ago and have had ongoing pain since, but it never lasted this long. Please could you look at the results of my MRI scan and explain to me what it means and what I should do next? My current medications include Cod IPA right and Vimovo.



Welcome to

I read your query with keen interest and reviewed the attached MRI report.

The attached MRI report indicates that there is a degenerative disc disease. A kind of cushion between the different vertebra has started degenerating. It is coming out to cause pressure symptoms like a lower backache, weakness of lower limbs, and radiation of pain to lower legs. The disc is maximally affected between lumbar vertebra five and sacral vertebra 1, followed by between lumbar vertebra 4 and 5, as well as 3 and 4. Since there is pressure on the anterior thecal sac (a structure that contains your nerves and is responsible for pain), treatment is needed. The option for treatment includes medications, physiotherapy, and surgery in order. Since drugs are not helping you, it is time to seek the help of a physiotherapist who will explain some exercises to strengthen muscles. So, there are the least amount of symptoms. The last option here is surgery if there is functional impairment and limited success with physiotherapy.

I hope this answers you. Feel free to write back to me if you have more questions.

Thanks and regards.

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