ADVERTISEMENT

Q. How does my recent MRI report vary from the one taken eight years ago?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 27, 2017 and last reviewed on: Oct 11, 2022

Hello doctor,

For the last eight years, I have had numbness in my toe, the one next to the big toe. Now, it slowly spread to just above the knee and in the area above the ankle below the knee on the right leg. There is no sciatic pain on either side. I have had mild diabetes for 10 years.

My MRI result eight years ago was as follows:

1. Degenerative disk disorder between L3-L4, L4-L5 and disk prolapse and disk herniation in L5-S1, and mild compression noted in L5-S1.

2. Tarlov cyst at the level of S2.

Yesterday's MRI result was as follows:

1. L2-L3, diffuse disk bulge noted, causing anterior thecal sac indentation.

2. L3-L4, diffuse disk bulge noted, causing anterior thecal sac indentation and compromise of bilateral recesses.

3. L4-L5, diffuse disk bulge noted, causing anterior thecal sac indentation and compromise of bilateral recesses.

4. L5-S1, diffuse disk bulge noted, causing anterior thecal sac indentation.

Nerve conduction study:

Bilateral moderate sural sensory axonal neuropathy in lower limbs.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I have read your query, seen the attached pictures (attachment removed to protect patient identity), and understand your concerns about the compression of nerves and diffuse disc prolapse at the lower lumbar region.

1. Although you have not asked about the next line of treatment, considering the progression over the last eight years and your current age, I feel a surgical intervention can be explored. The surgery will ensure there is no further damage to the disc, which will eventually stop the progression of the disease.

2. Since you have had diabetes and hypertension over the last 10 years, it is possible that you may not get clearance for surgery easily. In that case, going for medication is the only option that includes Pregabalin for pain management. In such cases, I often suggest taking 75 mg twice a day to 150 mg twice a day for effective relief from pain. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

3. In addition to either of the above two options, it is important to undertake physiotherapy. This method of treatment has a significant role. The required exercises must be carried out under the expert guidance of a physiotherapist.

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

Thanks and regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What is the difference between thoracic and lumbar fusion?

.. 12 thoracic vertebrae and five lumbar vertebrae. The fusion of the body of the vertebrae between the thoracic spine is called a thoracic fusion. A fusion at the junction of the thoracic and lumbar spine is called a thoracolumbar fusion. And that b...   Read full

MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?

.. you attach the MRI images and upload it so that I can see it? For more information consult a spine health specialist online --> .. ...   Read full

I have lower back pain. What does my MRI indicate?

This can be done either by a qualified physical therapist or an orthopedic or spine surgeon ... I also want to see your MRI scan and dynamic x-ray anteroposterior and lateral - flexion and extens...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Dengue Fever: Common Questions Answered
Dengue fever is a self-limiting mosquito-borne viral illness that has taken a massive toll on public health. Read below ...  Read more»
Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.