My wife is 59 yr old female. She as per mri ls spine: 1) early lumbar spondylosis 2) mild posterior bulge of l4-l5 disc intdenting ventral thecal sac, mildly encroaching in to bilateral neural foramina and abtting bilateral traversing nerve roots. 3) minimal posterior bulge of l3-l4 disc without significant neuroforaminal compromise. 4) lingamentum flavum thichening and bilateral hypertrophic facetal arthopathy at all lumbar levals relatively pronounced at l4-l5.5) degenrative spinal canal stenosis with resultant intrathecal nerve roots clumping at l4-l5 leval due to bulging disc, thickend ligamentum flavum and hypertrophied facets. In lumbar spine ap/lat digital x-ray: impression early lumbar spondylosis. Both knees ap/lat conclusion: bilateral knee joint early osteoarthritis. What should be the treatment?

Dr. N C GuptaOrthopedist52yrs exp

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Mri report must be interpreted in relation to the clinical condition of the patient. Not all patients of backache & pain joints need surgery. Most of them can be managed without operation. Anyway you may try kindly show me digital x rays of affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. 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. Ibuprofen 200mg od & sos x 5days bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem. 

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