إسأل طبيب الآن
الدكتور محمد عسفة
طبيب
الأسئلة المجابة 12503 | نسبة الرضا 98%
Doctor
LV4/5 Diffuse posterior disc bulge inclined to the...
LV4/5 Diffuse posterior disc bulge inclined to the right ; indenting the
ventral theca, encroaching upon the lateral recesses and inferior aspect of
exiting neural foramina notably the right.
LV5/SV1 Diffuse posterior disc bulge; indenting the ventral theca, touching
lateral recesses. That what the X-ray that i did says what shall I do?
إطرح سؤالك
إجابة الخبير: Sulaiman Abd Al-Hadi
Sulaiman Abd Al-Hadi
Licensed Doctor
الأسئلة المجابة 47886 | نسبة الرضا 97.5%
Your question was reviewed, it will be answered by specialist ASAP
إجابة الخبير: الدكتور محمد عسفة
الدكتور محمد عسفة
طبيب
الأسئلة المجابة 12503 | نسبة الرضا 98%
What is the management
The discopathy at the level of lower lumbar and sacral vertebra cause compression of the adjacent nerve roots that will cause radicular lower limbs pain that cain be treated sympromatically using Gapabentin 75 mg cap twice daily in addition to local application of Ice gel to releive local pain. The optimal soloution is the procedure with laminectomy and disc excision with vertebral fixation to prevent further neuronal damage. Consult A neurosurgeon for surgical treatment
Investigation
Following physical exam and history taking you should do peipheral EMG to decide the level of neuronal damage in addition to Lumbosacral MRI to detect the level of spinal canal stenosis and discopathy
Symptomes
Our advice
You are adviced to consult a neurosurgeon for optimal management
The discopathy at the level of lower lumbar and sacral vertebra cause compression of the adjacent nerve roots that will cause radicular lower limbs pain that cain be treated sympromatically using Gapabentin 75 mg cap twice daily in addition to local application of Ice gel to releive local pain. The optimal soloution is the procedure with laminectomy and disc excision with vertebral fixation to prevent further neuronal damage. Consult A neurosurgeon for surgical treatment
Investigation
Following physical exam and history taking you should do peipheral EMG to decide the level of neuronal damage in addition to Lumbosacral MRI to detect the level of spinal canal stenosis and discopathy
Symptomes
- Lower limb pain
- Muscle weakness
- Alterations of normal sensations
Our advice
You are adviced to consult a neurosurgeon for optimal management
إسأل طبيب
الدكتور محمد عسفة
طبيب
الأسئلة المجابة 12503 | نسبة الرضا 98%
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