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Doctor insights on: Mild Effacement Of The Anterior Thecal Sac

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Dr. Keegan Duchicela
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What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

Disc bulge: It means that the disc is somewhat compressing the sac around the spinal canal. In some patients, this may cause neurologic deficit or be completely asymptomatic. ...Read more

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Dr. Keegan Duchicela
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Meaning and is it serious? Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Meaning and is it serious? Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Cord Health: If the report is correct, the pressure on the thoracic cord could be causing symptoms of weakness, numbness, and urinary problems. This is something that you should discuss with your doctor today. Any changes in how you are walking, weakness, or bladder changes.Are concerning and would require immediate medical attention. ...Read more

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Will this require surgery?Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Will this require surgery?Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Depends on symptoms: Disc surgery doesn't always provide relief. Xrays of mris of the spine may look terrible, but if you have no major symptoms, surgery is not indicated. If your symptoms are bothersome, but modest in degree, then physican therapy or an exercise program will help and a physiatrist can direct this. ...Read more

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What's can this cause? A small broad-based bulging annulus at c5-c6 which causes mild-to-moderate impression on the anterior thecal sac describe above

What's can this cause? A small broad-based bulging annulus at c5-c6 which causes mild-to-moderate impression on the anterior thecal sac describe above

Depends: You might have neck pain or maybe not. Might be a normal finding of a disk bulge that comes and goes. Do you have radiation of pain to either arm or shoulder? Does your shoulder or neck have pain elicited by movement of your neck? If i had this i would want to have "kinetic mri", which is an MRI taken while sitting up. The usual MRI takes image in an unnatural supine position on a hard slab. ...Read more

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Dr. Keegan Duchicela
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I got my lumbar spine MRI which says, L4-5, Disk bulge is noted impinging on the anterior thecal sac near the exiting nerve roots. There is mild face?

I got my lumbar spine MRI which says, L4-5, Disk bulge is noted impinging on the anterior thecal sac near the exiting nerve roots.  There is mild face?

Mild Facet joint : I think you meant to type (Facet Joint ) not Face. Lumbar MRI evaluate the facet joints and can show degenerative changes ( fluid in joint, or hyper trophy which is enlargement ) and these changes can narrow the spinal canal and / or neural foramen narrowing ( where nerve exit the spine. ...Read more

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Can u explain to me what disc desiccation with small or mild broad based central subligamentous hnp and minimal deformity of anterior thecal sac means?

Can u explain to me what disc desiccation with small or mild broad based central subligamentous hnp and minimal deformity of anterior thecal sac means?

What are ur symptoms: X-ray reports are interpretations normally made by a doctor who never meets you. Someone who knows your symptoms and history and exam findings is the only one who can tell you what the interpretation means for you. ...Read more

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If fi have disc disiccation with a mild disc bulge that was effacing the thecal sac anteriorly, is there something i can do or does that mean surgery?

If fi have disc disiccation with a mild disc bulge that was effacing the thecal sac anteriorly, is there something i can do or does that mean surgery?

Complicated: If you do not have any weakness, bowel, or bladder dysfunction you may be able to be treated with manipulation, physical therapy, traction, and steroids ( either oral or epidural injections). If you have weakness or signs of neuro compromise surgery may be your best option. ...Read more

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I have c5-6 mild posterior spur indenting the thecal sac & flattening the anterior cord.Meds & passive tx not helping pain. Is surgery an option?

Spur: Treatment really depends on the symptoms and the response to various treatments conservative and minimally invasive. Surgery is definitely an option. ...Read more

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Dr. Keegan Duchicela
Board Certified, Family Medicine
8 years in practice
15M people helped
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