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

Hello doctor,

From the last eight years, I have a 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 which is below the knee on the right leg. There is no sciatic pain on either side. I have mild diabetes from 10 years.

My MRI result eight years ago was as follows:

  • Degenerative disk disorder between L3-L4, L4-L5 and disk prolapse and disk herniation in L5-S1 and mild compression noted in L5-S1. 
  • Tarlov cyst at the level of S2.

Yesterday's MRI result was as follows:

  • L2-L3, diffuse disk bulge noted causing anterior thecal sac indentation.
  • L3-L4, diffuse disk bulge noted causing anterior thecal sac indentation and compromise of bilateral recesses.
  • L4-L5, diffuse disk bulge noted causing anterior thecal sac indentation and compromise of bilateral recesses.
  • L5-S1, diffuse disk bulge noted causing anterior thecal sac indentation.

Nerve conduction study:

Bilateral moderate sural sensory axonal neuropathy in lower limbs.



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.

  • 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.
  • Since you have 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 which 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.
  • 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.

For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist

Was this answer helpful?


Related Questions:
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?

.. report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors...   Read full

Is my mother's leg pain sciatica or something else?

.. pain can respond to physiotherapy and rehabilitative exercises. I suggest she try tablet Lyrica (Pregabalin) 75 mg at night. It is a little expensive one, but a good medicine. The other option is to take tablet Pregaba-M (a combination of Pregabal...   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


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  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.