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Dr. Vikash Goyal

MBBS

Radiologist, Gurgaon

300 at clinic
Dr. Vikash Goyal MBBS Radiologist, Gurgaon
300 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vikash Goyal
Dr. Vikash Goyal is a popular Radiologist in Sohna, Gurgaon. He is a qualified MBBS. He is currently associated with EKTA HOSPITAL in Sohna, Gurgaon. You can book an instant appointment online with Dr. Vikash Goyal on Lybrate.com.

Lybrate.com has top trusted Radiologists from across India. You will find Radiologists with more than 33 years of experience on Lybrate.com. You can find Radiologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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Multi Specialty & Trauma Centre, Main Sohna Gurgaon Road,Badshahpur. Landmark:-Near Radha Krishan Temple, GurgaonGurgaon Get Directions
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Multi Specialty & Trauma Centre, Main Sohna Gurgaon Road,Badshahpur. Landmark:-Near Radha Krishan TempleGurgaon Get Directions
300 at clinic
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Hi sir my mother 72 year old she is suffering slip disk problem mri report conclusion/impression- Mr. Imaging reveal degenerative changes affecting lumbar spine with disc bulge-herniation at l1-2, l3-4, l4-5 and l5-si levels, more at l2-3, l3-4, l4-5 and l4-s1 level (protrusion), together with ligamentum flavum hypertrophy and facetal arthropathy are producing secondary canal stenosis with narrowing of bilateral neural foraming. Canal stenosis is most sever at l4-5 level.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It is good that you have actually mentioned mri report of your mother which shows degenerative changes in spine with degenerative discs at multiple levels and ligamentum hypertrophy. But since we have to treat the patient and not mri, please elaborate her problem as to a detailed discussion of back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications she generally takes and what has been her treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.

What should I be doing to releave the pain for two herniated disc's one above and one below a fusion surgery of the cervical spine.

MBBS, MS - Orthopaedics
Orthopedist
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Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.

What is disk bulge at l5 s1. Disc bulging become normal?

MS - Orthopaedics, MBBS
Orthopedist
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Mri of ls spine showing narrow l4/5 does not necessasarily mean operation. Most of them can be managed without operation. This is quite a common condition. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days you do back(spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.

I am male 39 I have a problem of obesity combined with disk problem. If to reduce tummy I go for walk the backache develops. If I take rest for improving disk problem then tummy gets large. Suggest solution.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am male 39 I have a problem of obesity combined with disk problem. If to reduce tummy I go for walk the backache de...
1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4. Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage gently this oil on your affected areas. After that do hot fomentation with salt potli (bag). take 1 tsf triphala churna daily....n practice yoga daily twice..

Treating Breast Cancer With Ayurveda

Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
Ayurveda
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Breast cancer, is a type of cancer, which is common to women, where cancer cells grow on the breasts or the female mammary gland. It starts out with the formation of a small lump in your breast and can spread out to your other organs very rapidly. It generally affects women above forty years of age. Breast cancer can be classified into two types. They can either start forming on the inner linings of your milk ducts ( known as Ductal carcinoma) or in the lobules which supply milk (known as Lobular carcinoma).There are many causes responsible for breast cancer they are mentioned below:

a) Obesity or post -menopausal obesity.
b) Exposure to frequent radiation (X-ray)
c) Consumption of alcohol
d) Being taller than average
e) Start of periods at an early age
f) Late menopause
g) Hormone replacement therapy
h) Consumption of birth control pills

The most common symptoms of breast cancer are as follows:
i. Formation of a lump in your breast
ii. Swelling or shrinking of your breast
iii. Change of size, shape and color of your nipple
iv. Blood or milk discharge from the nipple
v. Breast pain
vi. Itching sensation
vii. Appearance of rashes

Breast cancer if not diagnosed and treated at an early stage may turn out to be fatal. Ayurveda offers promising cures for breast cancer. A few of the Ayurvedic remedies are mentioned below:

1. Include foods, which are well supplied with vitamin D in your diet. Researches show that women with less amount of vitamin D in their bodies are more likely to develop breast cancer. Consider including foods like eggs, orange juice, dairy products and fish like salmon in your diet.
2. Drink more of green tea as it has anti cancer properties.
3. Exercises like walking, yoga, meditation and certain breast exercises can help you to relax the pain sensation, reduce stress and also get cured.
4. Incorporate bitter gourd in your diet. Researches show that bitter gourd can kill those cancer cells, which cause breast cancer.
5. Ayurvedic herbs like Ashwagandha, tulsi, curcumin have certain properties that can destroy cancer cells.

Since, breast cancer has less survival rates, it is absolutely essential for you to visit an Ayurvedic practitioner if you wish to get cured through Ayurvedic treatment.
Treating Breast Cancer With Ayurveda

Uterine Fibroids: 5 Surgeries that are Done to Treat them

MBBS, MD, DNB, MNAMS
Gynaecologist
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Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

Substances which help the body maintain its tissues trigger fibroid growth as well.

Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids

Tranexamic acid to ease excessive menstrual periods

Progestins or oral contraceptives to regulate menstrual bleeding

Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids

Surgeries to Treat Fibroids:

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.

Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.
Uterine Fibroids: 5 Surgeries that are Done to Treat them

Uterine Cancer - Causes, Diagnosis and Treatment

DGO, MBBS
Gynaecologist
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Uterine cancer is also known as endometrial cancer. It is a cancer which begins in the lining of the uterus. The uterus is the part of a woman's body where the fetus develops. Uterine cancer is one of those rare cancers in India, which can be diagnosed in its early stages. This is because excessive vaginal bleeding occurs, thus making it a very serious and an apparent symptom. It is also one of the few forms of cancer which can be cured as removing the uterus is often more than enough to cure the patient of uterine cancer.

Here are the causes, diagnosis and treatment of uterine cancer:

Causes

The exact cause of uterine cancer is not yet known, however, there is a theory on what causes uterine cancer. Hormones in a woman's body have been thought to increase the chances of getting uterine cancer. This is because it has long been thought that having high levels of estrogen is the cause of uterine cancer. Increased estrogen thickens the endometrium and thus, increases the likelihood of uterine cancer.

Diagnosis

There are several tests used to diagnose whether you have uterine cancer including:

1. Pelvic exam: This is an examination in which the vagina, bladder, rectum and uterus are scanned for lumps. If they are found, it might be due to uterine cancer.
2. Pap test: A pap test is a special test designed to scan for uterine cancer.
3. Transvaginal ultrasound: A transvaginal ultrasound uses high-intensity sound waves so that pictures of the uterus can be taken.
4. Biopsy: During a biopsy, the doctor will remove tissue from the endometrium and it will then be analyzed for cancerous growths.

Treatment

1. Surgery: This is the most common treatment as it removes the entire uterus and prevents the spreading of the cancer.
2. Chemotherapy: Chemotherapy involves giving drugs which kill cancerous cells. They are given through either an intravenous line or even in pill form.
3. Hormone therapy: This is a therapy in which either progesterone levels are increased or estrogen levels are decreased.
4. Radiation therapy: In this treatment, high energy laser beams are used to destroy cancerous cells.
Uterine Cancer - Causes, Diagnosis and Treatment

Why Is Cancer the Biggest Threat to India

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician
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Cancer is the one of the biggest threat to the young indian population because of the factors that cause cancer, but also due to late detection. However, certain bad habbits and the factors increase the risk of cancer in india.

Causes of cancer in india
1. Overpopulation and the problem of nutrition: as per records, india is the world's third most populous country. However, it lacks in resources to feed the multiplying number of mouths. Nutrition plays a key role in deciding the quality of a person's life. Nutrition has therefore emerged as an essential branch of research and medical care in the last few decades. Lack of nutrition directly results in weakened immunity. Your body becomes prone to diseases, some of which can be fatal. To fight off cancer cells, one must have a strong immune system that comes from the right kind of nutrition.

2. Smoking is a recurrent habit among children and adults: smoking can cause cancer. Every cigarette packet reads the same warning messages but it doesn't actually deter smokers in any way. Smoking is prevalent among people of all age groups in india. From poor children to conscious educated adults, all are seen smoking.

3. A tropical country and its woes: tropical countries are known to face the wrath of the sun. While most places in central, western, partly eastern and southern india experience extremes of temperature in summer, other places with moderately hot summers are not exempted from the harmful uv rays. Ultraviolet rays can be very harmful for one's skin, as it can cause skin cancer. Indians have a high amount of melanin, which protects them against sun rays, but the threat exists nonetheless.

4. The concept of fast food: a global economy has opened avenues awaiting your attention in the realm of food. To suit the tones and moods of a fast life, fast food has been made available to you. We take pride in consuming things that can be prepared in an instant: instant noodles, soups and even curries. Packaged food and junk food are sources of cancer cells.

5. Lack of awareness regarding the most common types of cancer: breast and cervical cancer are the two most common types of cancer eating away the health of indians. The problem lies in being unaware about the root causes, symptoms and treatment procedures related to these kinds of cancer. Social repression turns health concerns into matters of insignificance. Women fear social alienation after coming in the open with their problems.
Why Is Cancer the Biggest Threat to India

I am 34 years old male. I am suffering from back pain for the last 3 years. I have done MRI. In MRI it is found that 1. MILD DIFFUSE DISC BULGE IS NOTED AT L3-4 LEVEL CAUSING ANTERIORTHECAL SAC indentation MINIMAL NARROWING OF BILATERAL NEURAL forminal AS WELL AS LATERAL RECESSES. 2. MILD DIFFUSE DISC BULGE IS NOTED AT L4-5LEVEL CAUSING ANTERIOR THECAL SAC INDENTATION AND NARROWING OF BILATERAL NEURAL forminal AS WELL AS LATERAL RECESSES. MILD facial ARTHROPATHY IS NOTED BILATERALLY. please MAKE ME UNDERSTAND WHAT IS THE PROBLEM AND WHAT IS THE SOLUTION.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist
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I am 34 years old male. I am suffering from back pain for the last 3 years. I have done MRI. In MRI it is found that ...
the problem is you have disc bulge at 2 intervertebral levels causing compression of the nerve root that comes out of the spinal canal at that level causing pain in the back and legs . (disc is like gelatinous cushion inbetween two vertebral bones and it acts like a shock absorber . sometimes the disc comes out of its normal position and presses on the nerve which comes from the spinal cord. depending on the nerve that is compressed you can get pain in the back and / or legs, numbness, weakness etc.

I have a disc bulge at L4-L5 and L5-S1, its being more then 7 months now. My physiotherapy session is going on but i still have pain and weakness in my legs

M.Ch, DNB (Orthopedics), MBBS
Orthopedist
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You need and MRI and clinical assessment and may end up having a surgery if you have weakness which has not improved on censervative treatment for 7 months.

She has a desk job and feeling pain in right leg the mri shows reduced space in intervertebral disc.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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She has a desk job and feeling pain in right leg the mri shows reduced space in intervertebral disc.
Maintain your pelvic sit straight equal balance sciatica pain take ultrasonic therapy and swd then start stretching exercise is confirmation.

I am having ls S1 disk bulge problems if I am having physiotherapist it will cure or not?

DNB (Radiodiagnosis), DMRD, MBBS
Radiologist
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Hi, thanks for your query a l 5 - s 1 disc bulge might respond to physical therapy. It cannot be cured completely like before but with precautions and medicine you will feel much better and have a normal life. Please take care not to involve yourself in any activity which might stress your lower back. This will delay recovery and might also cause complications and the pain and discomfort to increase. Avoid doing sudden movement involving lower back and lifting weight more than 5 kg. This will help you recover quickly. For mild pain you should use ointments with muscle relaxant and pain relief. In severe pain plase adk your doctor for oral ner pain reluef medicine and non steroidal anti inflammatory pills. Use of heat pack is also recommended. Regards.

What is the treatment for DISC PROLAPSE in respect of Spine?

MBBS, M.S, MCh Ortho
Orthopedist
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Management depends on clinical features. analgesics and muscle relaxants in acute phase and physiotherapy. However with increasing nseverity, epidural injections, root blocks or discectomy may be indicated.

I have an disk problem so is it possible to me to give a birth to new child?

MS - Orthopaedics, MBBS
Orthopedist
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Yes, why not? you may need supervision of a ortho. Doctor. Still better will be to get rid of backache first. You kindly follow sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5 days, contact me again.

Slip disk and cervical pain. What can be done to overcome unbearable pain?

DNB (Orthopaedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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Pregabalin is generally prescribed, although needs careful assessment of patient's medical history. Sometimes, epidural steroids are also advised.

My wife is suffering from slip disc in spine after mri doctor diagnosis that she also suffering bone tb with unbearable pain in lower portion. Now as per doctor advice completely she is in bed rest. Now she cannot able to stand. Kindly advice.

MBBS, MS - Orthopaedics
Orthopedist
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Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem. I would like to examine her personally as soon as possible.

Common Side Effects of Uterine Fibroids

Certification in IVF & Infertility, Diplomate Gynae Laparoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist
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Many women develop uterine fibroids by the time they hit the age of 50 years and above. These are non-cancerous growths that may occur in the uterus. Most women go through severe bleeding and pain as well as discomfort as a result of these fibroids. Age, family history of the same condition, obesity or being overweight, eating habits and even ethnicity play a large role in deciding the risk of each individual patient. These fibroids can grow in the submucosal, intramural and subserosal areas.

Following are the common side effects of uterine fibroids:

Frequent urination: Due to the pressure of the fibroids on the uterus, the patient may experience a constant feeling of fullness in the lower pelvic area of the body, which may lead to frequent filling of the bladder. This gives rise to frequent trips to the washroom for urination.
Heavy Bleeding: Severe bleeding is one of the most common causes of the presence of these kinds of fibroids. The patient may experience a lot of bleeding during menstrual periods, as well as pain and cramps the rest of the time. The periods will also be very painful when there are fibroids in the uterus or the uterine lining.
Painful Intercourse: It is a well-known fact that any kind of infection or growth as well as sores and other such ailments can lead to vaginal dryness as well as pain during sexual intercourse. This is true for uterine fibroids as well, which can lead to severe pain during sexual activity. These fibroids can also give rise to pain in the lumbar or lower back region.
Abdomen Swelling: The abdomen may go through significant swelling in such a condition and the patient may even look like she is pregnant. The growth can push the shape of the abdomen outwards and create a full feeling.
Pregnancy Complications: The presence of uterine fibroids can give rise to several complications during pregnancy and even after child birth. One of the most common problems in this case is bleeding, followed by more severe outcomes like miscarriage. The women suffering from uterine fibroids are at greater risk of undergoing a caesarean section for the delivery of the baby. The baby may also be born breech and a premature delivery may take place.
Infertility: This is also a rare side effect of the uterine fibroids and is generally seen only in very severe cases.
Cancer: Only one in every 1000 cases might transform into malignant tumours. These uterine fibroids are generally known to be non-malignant.

Any symptoms must be reported to a gynaecologist at the earliest to avoid any serious complications.
Common Side Effects of Uterine Fibroids

My MRI report says, Mild posterior broad base protrusion of L4-L5 intervertebral disc resultant mild central and lateral canal narrowing causing mild compression over thecal sac and right traversing L5 nerve root. I am doing bed rest from 10 days, what's the report says.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist
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the report says that you have a disc prolapse and the disc is compressing one of the right nerve root. So if you have back and right leg pain then it would fit with your MRI findings. Absolute bed rest is not required for disc prolapse. as it is a mild prolapse there is a chance that the symptoms will improve with medications. avoid lifting heavy weight and reduce your body weight too

I am 33 and my body has became very stiff due to no physical exercise. I have slip disk and neck ailments. Also mental tension getting worse. But need to come over this. What could be the starter guidelines for getting started with Yoga/Meditation.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist
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I am 33 and my body has became very stiff due to no physical exercise. I have slip disk and neck ailments. Also menta...
The best way to get started is with pranayam. Do daily breathing exercises for half an hour and then start with suryanamaskar. Do atleast 21 cycles of suryanamskar. You will start seeing the results within 15 days.

This is my Mri report impression. Disc degeneration and disc bulge is seen at L5/S 1 level indenting the thecal Sac without any nerve root compression. Annulus tear is noted. 2 this r my x ray report impression. Pid L5. S 1.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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This is my Mri report impression. Disc degeneration and disc bulge is seen at L5/S 1 level indenting the thecal Sac w...
Do Take Physiotherapy treatment of IFT and vacuum Therapy Physiotherapy treatment for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.
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