Dear Practo user ,
There is multiple pathology in MRI as you mentioned . There is extrusion , LF hypertrophy causing canal stenosis at multiple levels .
The aim is to find right disc causing radiculopathy ( radiating pain ) , despite multiple disc involvement, all disc doesn’t cause pain at same time , hence differential diagnosis is required with clinical assessment of patient . Once diagnosis is established to find pain generator ( source of pain ) , it can be treated by interventions ( from nerve root intervention to endoscopic spine procedure and open spine surgery ). There is very little chance than disc extrusion or lig flavum hypertrophy improving own it’s own despite taking pain killers.
Next Steps
Consult interventional pain specialist or Orthopaedician trained with spine fellowship for finding source of pain and addressing that pain generator appropriately
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Bone and Muscle
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