My father has been suffering from Sevre back pain and he had undergone surgery of L3-L4 8 years back and again similar sort of pain has arose and we are in dilemma to opt for procedure for medication. His age is 52.
I have here with attached MRI report of my father so please recommend me suitable options for medications.
I will be waiting for your response.
MRI of the Lumbo –Sacral spine
• T-1 and T-2 weighted sagittal
• T-1 and T-2 weighted Transverse through the lumbar intervertebral disc spaces
• Gradient Echo (F12D) Sagittal
• Post contrast T-1 weighted Axial , Sagittal and Coronal
• Left paramedian disc protrusion with caudal migration noted at l2-L3 level,which is seen as disc intensity area contiguous with the disc in both T-1 and T-2 weighted images protruding into the anterior spinal canal compressing the thecal sac . Left L3 nerve root is compromised . disc bulge noted at L3-L4 and L4-L5 levels. Central spinal canal is slightly narrowed at L-4-L5 level.Both L3-L4 and L4-L5 neural foraminas are mild to moderately narrowed . no abnormal enhancement noted in the post contrast study.
• Normal alignment , Configuration and height of the vertebral bodies with normal marrow signal.
• Apart from the changes noted above disc spaces aand the signa;l intensity of the disc in all other levels are normal . No disc bulge , herniation or sequestration evident in other levels.
• Except the changes noted above all other lumbar intervertebral foraminas are well visualized with exiting nerve roots within superior aspect and do not show any abnormality.
• Lower apart of the cord is normal . CSF space around the cord is normal . No space occupying lesions seen .
• No para-spinal abnormality.
• Left paramedian disc protrusion at L2-L3 level with the left L3 nerve root compromise.
• Mild central spinal canal stenosis at L4-L5 level and bilateral neural foraminal stenosis at L3-L4 and L4-L5