Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?

Depends. Most disks get better within 6 months with pt and conservative treatment, assuming that the disk is even related to the pain. Keep an eye on spondy to make sure it's stable. If you develop instability surgery may be in order.
What about symptoms. What are your symptoms and do you know the cause(s) for these findings? If there are no radicular symptoms (pain, tingling, burning sensation down the leg(s)), then treatment would be pain control, muscle relaxants (if severe spasm), stretching, physical therapy, strength training (including abdominal muscles) and learning proper lifting and movement techniques.

Related Questions

My MRI showed L5-S1 disc bulge with mild facet arthropathy at L4-5 and L5-S1. As well as L5-S1 Ligamentum Flavum Hypertrophy and facet Arthropathy??

Spinal Arthritis. Your MRI results are consistent with age. Often these findings do not cause any pain. A lifetime of use, injuries (sports/falls) are consistent with these findings. Most people have similar "arthritic" changes in the spine after age 25. I assume you are symptomatic. PT, weight control and strengthening your back would good first steps. Listening to your pain is very important to avoid re-injuring. Read more...

What does moderate bilateral L4-5 and L5-S1 facet OA with mild ligamentum flavum hypertrophy mean? It's from an MRI Scan I had done.

Back degeneration. Age appropriate moderate spine degeneration with early signs of changes that can become spinal stenosis these findings need clinical correlation they can cause back and or leg pain or be asymptomatic. Read more...

I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?

Mild Back arthritis. Degenerative changes of spine all above findings are 30% asymptomatic may or not be cause of your symptoms .Now you have a more detailed list of suspects to investigate with a spine specialist. Read more...

Got MRI report, broad based dic bulge l4, l5. Facet hypertrophy l4, L5 and l5, s1. What are treatment options? 3mths pain, no improvment w/pt or st shot

Back or leg pain. Your symptoms and MRI findings can help guide treatment. If your pain is mild then oral pain medications and physical therapy can be helpful. If pain is severe then spine injections or spine surgery might be helpful. Speak to your physician and ask for a referral to a spine surgeon . Read more...
Complex answer. Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. If the epidural was not effective the injection can be placed in the facet joint or the disc. The pain generator needs to be found. Read more...

During my Laminctomy, ruptured Disc L4/5 and L5/S1 and stenosis, my surgeon found 2 cracked facet joints. Now he recommends a fusion. Is he correct?

Not yet. Facet joints are often resected partially (medial facetectomy) during performance of a laminectomy for stenosis. In the process facet joints may also be cracked. These almost always heal with time. Do not have fusion unless pain persists >6 months and can be localized with facet blocks to the specific fractured facets. Read more...

Mri results in lamen terms dengenrated disc at t11-12 and more significantly l4-5 and l5-s1 with annular bulges at l4-5 and l5-s1 taht are focally prominent centrally. No significant facet arthropathy is seen.

Degenerated . Degenerated disk is the disk is wearing out and collapsing. Annular bulges when the disk collapses the disk starts to push out. Centrally is the location of the bulge in the center, not on the right or left sides. Facet arthropathy is arthritis or wearing out of the facet joint. You don't have this. Please see my health guides why does arthritis cause back pain. Good luck! Read more...

L3/4 L4/5 disc bulges & facet joint deg L5/S1 indent spinal cord, disc contact nerve root lateral recess & facet joint deg Can body twist worsen this?

Clarification. Sounds like you possess lumbar spondylosis and degenerative disc disease, and indeed there may be some degree of lumbar root compression. (Spinal cord ends at L-1,2 and there is no effect on cord). Learn McKenzie exercise protocol, do it multiple times weekly, be cautious with heavy lifting, work with a good physical therapist, and learn proper body mechanics. Read more...