請薛成等醫生幫我看看有什麽治療可用

Study Result

MRI of the lumbar spine obtained with multiple axial and sagittal imaging sequences. There are no prior films of the lumbar spine are available for comparison. Study is being performed for low back pain and right leg sciatica for 3 years. Findings: Alignment is normal. The conus terminates posterior to the lumbosacral junction. There is decreased disc signal at L3-4, L4-5 and L5-S1 with decreased disc height at L4-5. There is no abnormality in the retroperitoneum. L1-2 and L23 were examined only in the sagittal plane and were normal. At L3-4 disc signal is slightly decreased and there is diffuse disc bulge extending into both neural foramen minimally without nerve root compression. There is minimal facet arthrosis and no evidence of central stenosis. At L4-5 disc signal and height are decreased and there is mild anterolisthesis. There is a diffuse disc bulge with a right sided annular fissure well seen on series 5 image 15. Disc bulge is extending into and narrowing the right neural foramen where it is abutting the right L4  nerve root (series 1 and 2 image 11). There is moderately severe bilateral facet arthrosis and ligamentum flavum hypertrophy and mild multifactorial central canal stenosis. At L5-S1 there is fatty endplate degeneration. There is a small right paracentral disc protrusion with an annular fissure which abuts the right S1 nerve root on series 4 and 5 image 23 within the subarticular lateral recess. The facets and flava are intact. IMPRESSION: Multilevel degenerative disc disease most severe at L4-5 where there is multifactorial central canal stenosis and a disc bulge with a right annular fissure entering the neural foramen where it abuts the right L4 nerve root. At L5-S1 there is a right paracentral disc protrusion superimposed upon a diffuse disc bulge abutting the right S1 nerve root.

所有跟帖： 

• 這解釋了右側腰腿痛的原因。我以前的博文也許對你有點幫助。 -薛成- ♂ (56 bytes) () 09/29/2014 postreply 10:31:19

• 謝謝，就是說鍛煉肌肉會有幫助？ -leaftchi- ♀ (0 bytes) () 09/29/2014 postreply 13:37:24