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Rebecca

Rebecca Pinto  |107 Answers  |Ask -

Physiotherapist, Nutritionist - Answered on May 26, 2023

Rebecca Pinto is a physiotherapist, nutritionist and founder of Dr Rebecca's Physiotherapy.
She has been helping patients with physical difficulties resulting from illness, injuries and ageing for over nine years.
She holds a bachelor's degree in physiotherapy from SKN College of Physiotherapy, Pune. Rebecca is also a certified PNF (Proprioceptive Neuromuscular Facilitation) practitioner and has trained in dry needling, spinal manipulation and cupping procedures as well.... more
Asked by Anonymous - May 25, 2023Hindi
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In continuation to the below query, the LS Spine MRI report says: 1. The lumbo-sacral vertebrea exhibits diffuse hypointense marrow signal on T1W and T2W sequences without appreciation in signal on STIR images. Such appearance is due to red marrow predominance and may be seen in conditions affecting bony metabolism, most common being osteomalacia/osteoporosis or many hematological conditions; 2. L4-5 disc is partially dessicated and exhibits mild broad based posterior disc postrusion with inner annular tear indenting on thecal sac and left exiting L4 nerve root. Mild facet joint arthropathy is seen at this level Vitamin D levels are 30.80; Did Dexa scan which showed result as under: Left forearm shows evidence of Osteopenia with increased fracture risk. Lumbar spine and both femoral neck BMD are normal.

Ans: Hi,
You’ll need to get on a weight bearing strengthening protocol. Please visit a near by physio centre so they can customize it for you and also help you with pain management.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Rebecca

Rebecca Pinto  |107 Answers  |Ask -

Physiotherapist, Nutritionist - Answered on Aug 13, 2023

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Dear Doctor, I am 67 Years old. My MRI report says as folilows Observations Multiple small variable sized discrete and confluent nonenhancing asymmetrical T2 / T2 FLAIR intermediate hyperintense signals seen involving pons, subcortical and paraventricular white matter of bilateral fronto-parietal lobes and centrum semiovale, suggestive of chronic small vessel disease changes. No evidence of acute infarct, hemorrhage or space occupying mass lesion noted. No abnormal parenchymal or meningeal contrast enhancement seen. The thalami, basal ganglia and internal capsules are normal on both sides. The ventricles and sulci are normal for the age. The pituitary gland, infundibulum and hypothalamus are normal for the age. The posterior fossa shows normal cerebellum. The medulla and mid brain shows normal signals in all the sequences Dolichoectasia of left vertebrobasilar artery noted. Bilateral 5th,7th, and 8th nerve complex appear normal in size and signal intensity. Bilateral CP angles appear normal. No abnormal vascular loop. Bilateral vestibule, semicircular canals and cochlear appear normal. Visualized temporo-mastoid bones appear normal. Normal flow void is seen in the major dural venous sinuses and arteries. Visualized orbits and contents appear normal. Small non-enhancing T2 hyperintense and T1 hypointense polypoid mucosal thickening of left maxillary sinus, suggestive of mild sinusitis with polyp/retention cyst. MRI BRAIN PLAIN AND CONTRAST Impression ï‚· Chronic small vessel disease changes involving pons, subcortical and paraventricular white matter of bilateral fronto-parietal lobes and centrum semiovale. ï‚· No abnormal parenchymal or meningeal contrast enhancement. ï‚· No significant abnormality of bilateral 5th,7th, and 8th nerve complex and inner ear structures. ï‚· Left maxillary mild sinusitis with polyp/retention cyst. Please advice.
Ans: Hi Rdy,
While we understand that these are your MRI findings it may or may mot symptomatically reflect. A detailed history of your current symptoms will be required to plan out a treatment which can help you. I’d advise you to visit a near by physiotherapy department with your files so that they can evaluate your condition and check your strength and power and design an appropriate treatment plan for you.

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Nidhi

Nidhi Gupta  |172 Answers  |Ask -

Physiotherapist - Answered on Oct 16, 2023

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i am 55 years old. Retired defense pilot. Have lots of sports injury which is showing up at this age. Body biochemistry is all with in limits, only fasting sugar is 108. For last few months i am having pain in outer left thigh muscles which increases during sleep as well as while lying down resulting in sleepless nights hence general body fatigue due lack of sleep. My exercise includes 5-6 km walk in the morning and occasionally thrice a week cycling. Orthopedic , General surgeon, neurologist as well as ayurvedic doctor has been consulted with MRI report. FINDINGS: Dorsal and lumbar vertebrae are normal in attenuation and alignment. Straightening of lumbar lordosis. Desiccation of lumbar intervertebral disc from L2-L3 to L5-S1 levels. Mild diffuse disc bulges at L2-L3, L3-L4 and L4-L5 intervertebral discs indenting anterior thecal sac with mild narrowing of lateral recesses and neural foramina. No significant compression of the cauda equina. Mild disc bulge at L5-S1 level indenting anterior thecal sac. Bilateral facet arthropathy is seen at L4-L5 level. Dorsal spinal cord, conus medullaris and cauda equine are normal. Para spinal soft tissues are normal. IMPRESSION: Mild lumbar spondylosis with mild diffuse disc bulges from L2-L3 to L5-S1 levels. Kindly help me and advice
Ans: Hello Partha,
You need to consult a physiotherapist who knows the Mckenzie treatment for slipped disc. At times pain in outer thigh can be due to slipped disc.
Or you may have a hip bursitis which will not come up in lumbar spine MRI, only hip MRI will show it. Outer thigh pain while sleeping on left side can cause pain if it is a left hip bursitis.
Or this could be a Iliotibial band tightness which is a band of muscles on the outer thigh.
A good sports physiotherapist who also knows the Mckenzie treatment needs to evaluate you, understand the root cause and accordingly give you the treatment and you should be fine.
All the best!

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