What is Thecal Sac indentation ? Learn to read MRI

A clear explanation of Thecal sac indentation with easy to understand illustrations and narration.

[@afghaneagle9255]

Sir thankyou so much for your efforts. You are very talented and, you explain it all so well. Amazing teacher

[@proanatomy]

Glad to hear from you, Thank you for your appreciation and unwavering support. Please feel free to share your queries as comments here. I'll try to answer them as soon as possible. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@MatthewDoebler]

You are a talented teacher. Thank you for contributing your knowledge to the world!

[@proanatomy]

Greetings MatthewDoebler, I am really happy to hear from you. Keep learning , keep supporting and keep spreading knowledge. Do feel free to post your anatomy related queries as comments. I'll be answering them shortly. Regards Dr.Manu krishnan.K Founder:Proanatomy

[@pjmnash]

Amen! Excellent AND A+ from an old teacher in the USA❤❤

[@proanatomy]

Greetings, I am privileged to recieve your appreciation. I would be extremely happy if you could share your perspectives on the same topic via mail. Herewith sharing you the mail id: [e-mail] Looking forward to have a word with you to exchange your expertise and knowledge. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@GL-yg8uc]

I am thankful for your informative video and your kindness to the community.

[@proanatomy]

Thank you and keep supporting, Happy to know that you got benefitted from it. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@drsandy780]

Thank you sir beautifully narrated the topic regarding MRI reading. 🙏🌿

[@Jaggededge112]

You made that so easy to understand, thank you!

[@underrated_shaayar]

Commendable work

[@SANAKHAN-yn3gz]

very well explained. thanks

[@proanatomy]

Greetings Sana Khan, Good to hear from you. Keep learning and keep supporting. Feel free to post your anatomy related queries in the comment box. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@appa232]

Thank you Sir, very detailed explanation of the terms in a MRI report

[@proanatomy]

Thank you, it's good to hear from you. Keep supporting and keep posting your doubts as comments. That will be addressed soon in the upcoming videos. Regards Dr.Manu krishnan.K Founder: www.proanatomy.in

[@Rafat_Fatima]

My MRI report says that Disc bulges are seen at C-2 C-3 to C6-C7 level causing indentation of thecal sac and not impinging on the underlying spinal cord Please tell what does it mean?

[@AvicSubfusca]

Bless you Dr. 🙏🏻

[@sangamlama4624]

According to my MRI i am having posterior l4/l5 disc bulge with anterior thecal sac identification..... how can I get better like before?

[@proanatomy]

Greetings @sangamlama4624, There are many factors that have contributed to the posterior disc buldge indenting the thecal sac. From the minimal information that you have shared , it's really difficult identify the root cause. It will be really helpful to asses your condition if you could share more insights into your medical history and presenting complaints. You may share your MRI films through mail so that I could have a better look at them before giving any suggestions. Mail to : [e-mail] Regards Dr.Manu Krishnan.K Founder : Proanatomy

[@roseaya4947]

Thank you that was very helpful ❤

[@proanatomy]

Greetings, Really glad to hear from you. Keep listening and keep supporting 🙏 Regards Dr.Manu krishnan.K Founder: Proanatomy

[@sivaneethr2255]

Thank you Sir,for this informative video ❤️

[@eclana2978]

informative 👍Thanku sir

[@proanatomy]

👍🏼

[@Deba7777]

Thank you for this explanation!

[@proanatomy]

Greetings @Deba7777, Glad to know that it have helped you. Keep learning , keep sharing and keep spreading the knowledge. And feel free to post your queries here. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@darshancherry598]

Hi sir I was conducted Microdiscectomy for L5/S1 Disc herinated pressing right leg nerves ... Immediately pain got reduced for right leg after surgery.. everything was fine ... Now am post 20 days of surgery, From 14th day am experiencing pain left leg ... It is new ... And back pain from left side .... Kindly please let me know what will be the problem

[@proanatomy]

Greetings , It is difficult to give you a clear picture of your condition with the limited information that you have shared here. It would be great if you could share the detailed medical history and reports to have an interpretation over your current condition. Without that it would be really difficult to make any assumptions. You may contact me via EMAIL [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@qtrhrse1574]

I am understanding a bit more what this means and it helps. My MRI said that at c3-c4 there is minimal disc osteophyte complex which indents the ventral sac without abutting or deforming cord. Facets are normal. No significant spinal canal stenosis is identified. There is minimal uncovertebral joint spurring. The neural foramina are patent bilaterally. My question is the arm weakness and constant numbness in hand caused but the indent in the ventral sac ? It has been very miserable i wake up through out the night with numbness along with pain in my arm. My gp tried to tell me it was just a strained muscle i believe that my MRI says differently. Am I wrong ? Colleen

[@AvicSubfusca]

Hi Colleen, GPs aren't really experts in anything. They will happily gaslight you to hell and back. Trust your own body, your own symptoms. You need to see a specialist and go off their opinions. Even then, get a second opinion. All the best to you.

[@raghuramjanamanchi9893]

Sir...Please try to make a video about Frozen shoulder otherwise called as periarthritis.. and the structure of capsule... which is not available anywhere....🌹🌹🌹

[@proanatomy]

Greetings Mr. Raghuram, It's a really interesting suggestion and I will surely work on that. Frozen shoulder have been explained variably as periarthritis and adhesive capsulitis as well. I'll give a glimpse of the pattern of anatomical arrangements that makes the shoulder highly mobile and also the changes that brings in the restricted movements. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@malinimathi8908]

Small posterior and unco vertebral ostephytes at c3 c4 causing mild indentation of theca as per report... Is that very critical or please suggest treatment?

[@proanatomy]

The presence of osteophytes at C3-C4 levels need to be correlated with much more factors like : Age , the extend of thecal sac compression, the extend of central canal narrowing, the presenting symptoms as of now. It would be helpful if you could mail me the MRI report and MRI films to [e-mail] I'll have a look at it and let you know about the status of the condition. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@bightf01655]

hi sir i was wondering if you could take a look at my mri?

[@neerajkabraham9173]

Nice presentation 👍🏼

[@proanatomy]

Thank you 👍🏼

[@sherinmohammedali1737]

Very useful video sir🙏🙏

[@proanatomy]

👍🏼

[@rinkumolbasil7427]

Nice presentation

[@proanatomy]

Thank you and keep supporting 👍🏼 Regards Dr.Manu Krishnan.K Founder: www.proanatomy.in

[@venugopal-bb6pf]

Thanks for detailed video, Have shared MRI report of mom.Request your feedback sir.

[@proanatomy]

Greetings Mr.Venu gopal, I have gone through your reports and do check your mail for the suggestions. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@darshancherry598]

Disc bulge at L4 L5 identing thecal sac .... Does it need surgery sir??

[@proanatomy]

Greetings, It is not necessary to go for a surgery in all cases of thecal sac indentation. There are many factors that would be assessed priorly before the decision-making. Feel free to share your further queries as comments. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@HariKrishnasjhk]

Sir,Diffuse disc bulge with disc height reduction and anterior thecal sac indentations noted in C3-4, C4-5, C5-6 level, with narrowing of neural foramen, with e/o exiting nerve root indentation on both sides Can it be reversed by physio?

[@thespandilizer444]

Mild central disk protrusion seen involving c6-c7 disk causing mild ventral thecal sac indentation Age 20 having pain on one left side with tinnitus, little numbness, and tingling since 4 years

[@proanatomy]

Greetings @thespandilizer6562, From the report, it is evident that the pressure on meningeal covering is causing most of your symptoms. But considering your age, I strongly feel like there will be a good improvement from the condition if you focus on neck muscle strengthening exercises. It's a must that you should be choosing the exercises only after a consultation with a physiotherapist. And also focus more on your lifestyle and diet which is also found to have an effect over the recovery. Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@raghavxx]

Sir I have mild disc bulge at C4-C5 and C5-C6 with flattening the thecal sac and on C5-C6 also have annular tear also this problem is from February 2023 due to injury and still have pain in shoulder and finger of left arm ...and I wanted to go gym so can I join gym back or not because from last few months i discontinued but now I wanted to go so can I join gym with this pain or not 😢

[@proanatomy]

Greetings Mr.Raghav, It's evident that there's a noticeable compression on your spinal cord, and that it clearly causing the radiating pain and probably numbness at times. Since upu were restrained from going to gym. I would particularly suggest you to start with "isometric neck exercises" in the beginning for atleast 2 months and later after a discussion, you may give give the gym. You can contact me on, [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@nainasingh3296]

thanks sir, how to treat this ? any exercise ?

[@proanatomy]

Greetings @nainasingh3296, Good to hear from you. And regarding your question: it's not easy to define the solution for this problem as there are a lot of underlying causes that can trigger this condition. Starting from a disc bulge to an injury happened earlier. Apart from that, there is also some contributing factors like body weight, age, occupation, postural stress etc. I can give you a suggestion only after a thorough understanding of all these facts and medical history of the patient. You may mail the details to me and looking forward to have a discussion over the same. Email: [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@dolphingirl3698]

Thank you for this wonderful explanation. It's very informative. I am wondering whether you think a small posterior disc osteophyte complex present in C5-C6 with minimal indentation on the anterior thecal sac without significant spinal canal stenosis could cause any neurological symptoms, such as vision changes? Thanks so much.

[@proanatomy]

Greetings, As from the minimal information that you have shared here. It's not quiet possible for such a case to have an vision changes. How exactly is the presentation ? Do you have altered vision or any degree of difficulty in seeing near or far objects ? Please specify your vision changes and we can discuss over that. Regards Dr.Manu Krishnan.K

[@dolphingirl3698]

Twenty minutes after tweaking my neck I developed visual snow over the course of a few minutes last February. It's a mottled pattern of clear gray and yellow that is overlayed across my whole field of vision. I also noticed my very near vision is noticeably worse, specifically anything that's less than ~20 cm from my eyes. Optometrists have given me a clean bill of health, and are suggesting visual snow syndrome, a neurological issue with no clear cause or treatment at this time. I'm trying to fully rule out a neck injury as a potential cause. Thank you so much for taking the time to talk to me about this. I really appreciate it.

[@proanatomy]

Greetings, As per the opinion from the Optometrists , you need not worry much. And I could tell you clearly that the chances of neck strain and it's involvement in the same is very minimal. But still in certain cases - long screen time , long work hours in a bad neck posture can also possibly trigger the visual snow syndrome. May be because of the alterations of blood supply to various parts of brain against gravity. Hence as a trial you can actually try improving your neck posture by utilizing the "isometric neck exercises"(make it a routine) and also reducing the screen time or by shifting yourself into an ergonomic work environment. As a personal suggestion, I also advice Yoga practice and meditation for atleast 20 minutes a day. It will also help you. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@dolphingirl3698]

Thank you for these wonderful recommendations. I'm currently on a physical therapy regimen to strengthen my neck, including isometric neck exercises, so I will continue with that. I'll also look into the yoga and meditation. I greatly appreciate all the help you've given me.

[@proanatomy]

It's my pleasure to have helped you. Keep supporting and keep spreading the knowledge you gain from here. Also feel free to post your queries as well. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@ratanexotica6499]

sir my mother have vertebral column compression fracture,,in comparison the fluid cleft the fracture of D12 vertebral body has increased, The fracture extended to the posterior Cortex which is seen to bulge in to spinal canal indenting the thecal sac.Cord edema is seen at this level more on the left side.sir this is her MRI report and my mother can't move left leg, doctor suggested spine surgery and vertebroplasty and fix screws and rod in spine,Is this the right option sir, kindly suggest Thanks her age is 70 and she have DVT subcute thrombosis of distal left superficial femoral vein and left poplitcal vein and perinacal and solcal vein

[@proanatomy]

Greetings @ratanexotica6499 From the facts you have shared here it's evident that there is a clear involvement of mechanical compression over the spinal cord and related structures after the injury. Considering your mother's age and the associated health issues mentioned. It's risky to go for surgery without a thorough evaluation of her health status. As far as the condition is concerned, you have to weigh the amount of risks and benefits out of the surgery and choose for the right one. This is strictly a personal opinion in terms of the minimal information shared here. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@PramodP-oe7qy]

Sir does the thecal sac indentation only occur due to disc bulge my report only has mild ventral thecal sac indentation at l4 l5, whenever i touch mg spinal column it is painful please help😢😢

[@proanatomy]

Greetings Mr.Pramod, As an explanation to your Enquiry, the thecal sac is the outer sleeve that covers your spinal cord and in most of the cases it will be compressed by the disc bulging into the vertebral canal of your spinal column. And when you are mentioning only a mild disc bulge and pain on touching your spine. It might probably be an inflammation of your supportive ligaments of spine. There are a lot of factors that need to be assessed before giving you any further suggestions. You may contact me on [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@PramodP-oe7qy]

​@@proanatomy would you need mri films for better assessment and please tell me how to take your appointment

[@proanatomy]

@@PramodP-oe7qy ofcourse that would be great if you could share the MRI films as it can be useful in explaining you the condition in a better way. You can mail it to me before taking the appointment. Regards Dr.Manu krishnan.K Founder : Proanatomy

[@PramodP-oe7qy]

Thanks I have mailed all the details

[@PramodP-oe7qy]

​@@proanatomysir I have sent my email with mri please find it

[@EAbrego76]

Hello Sir! Thank you for your video. What symptoms of side effects will a severely narrowed L4-L5 thecal sac cause a person to experience? Thank you in advance.

[@proanatomy]

In such a case there can be an associated spinal canal stenosis as well. And I give you a better opinion, if you could specify wether the anterior thecal sac is affected or the posterior thecal sac is affected in this case. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@devit2612]

Sir good explation. Than you but i has same problem what is the treatment pls reply. .

[@proanatomy]

Greetings, Good to hear from you. But without seeing your reports, it's really difficult to give any suggestions or comments over the same. Please do share your reports via mail to: [e-mail] Will revert back to after going through the same Regards Dr.Manu krishnan.K Founder: Proanatomy

[@jenniferlee9029]

Hi Sir does this go away on its own or do I need surgery. Can I take anti-inflammatory to solve this? Please help.

[@proanatomy]

@jenniferlee9029 Greetings, Your question is very simple but the answer is difficult as we have to analyse a lot of factors before giving you any suggestions about the prognosis of your condition. Will need a thorough review on your medical history , onset of present signs and symptoms. Followed by a properly devised set of exercises that can improve your spine posture and thus by improving own overall enthusiasm. Regards Dr. Manu Krishnan K

[@jackiehinojos9989]

Dr.Manu Krishnan I would like for you to help me understand my MRI report. I would love the same illustration and video to be done. My family keeps asking me questions and I do not know how to explain correctly. I would appreciate your response.

[@proanatomy]

Greetings from Proanatomy, It can be done if you could share me your detailed MRI images. Make sure that there's enough lighting from behind while taking the photograph. I'll revert back to you once I have recieved it. Regards Dr.Manu krishnan.K

[@AnNie-13]

Woww, you made it very clear. So simply indentation means we can say pushing, right?

[@proanatomy]

Greetings An Nie, As you told, in simple words it could be said as pushing of disc on the covering of spinal cord. Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@AnNie-13]

Thank you so much, now I think I will be able to conclude this much at least from an MRI film.

[@proanatomy]

Yes indeed. Keep learning, keep supporting and keep spreading the knowledge. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@michaelknight2721]

How is this fixed

[@proanatomy]

There are different methods to fix it. But it depends on various factors like, Age of the patient Severity of the condition Biomechanics of the vertebral column Assessment of the supporting structures of the vertebral column After a through evaluation of the above mentioned details, the only we will go for a proper treatment protocol. If you are intersted in discussing the same any further. You may contact us via email [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@sudhatripathi8666]

Dear sir i have c5 c6 disc bulge leading to thecal sac indentation what's the treatment

[@proanatomy]

Greetings Miss Sudha Tripathi, It's not possible to suggest you any treatment on the basis of the minimal information that you have shared here. As per your report stated here, you might be experiencing stiffness and pain over the neck that is radiating to either sides or probably to one side. A proper medical history and detailed MRI findings with the film reports will help in knowing the extend of the condition. You may mail your reports to the following mail id. [e-mail] I'll revert back to you after going through the same. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@poonamnegi3842]

Hello sir I have disc buldge problem l4 l5 , l5 s1 level And Disc degeneration prblm l5 s1 level Kindly suggest treatment

[@proanatomy]

It's difficult to interpret your condition with just these two information. It would be helpful if you can mail the reports, so that I could give you a better suggestion. Regards Dr.Manu krishnan.K Founder: www.proanatomy.in [e-mail]

[@aroha_rencuizon4644]

Thank you for sharing. Doc, what is the symptoms or effect of c6-c7 diffuse disc bulge with focal central protrusion compressing the ventral thecal sac?

[@proanatomy]

Greetings Aroha, From the minimal information that you have shared here. I could roughly suggest that in case of a central protrusion of disc compressing the ventral/anterior thecal sac can produce symptoms as follows; # Numbness radiating to both arms # Stiffness of the neck region # Intermittent headaches of unknown origin # tingling sensation on the inner aspect of upper limb And to have a better look at the extend its always necessary to correlate the findings with many factors like : Age, Gender, Serum calcium and Vit D3 levels in blood etc. Regards Dr.Manu krishnan.K Founder : Proanatomy

[@aroha_rencuizon4644]

Thank you so much for answering, Doc.

[@gowshinivi7171]

Hii doctor, my mri report shows that mildly indenting thecal sac C4 & C5 vertebrae

[@proanatomy]

Greetings Miss Gowshi nivi, The information that you have provided is very minimal to give you any interpretations. It would be great if you could share your reports through email : [e-mail] I will go through it and let you know the comments. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@deepaksood3234]

Hello Doc, I want to get my MRI reviewed. Do you have any paid consultation where can i get this thing done?

[@proanatomy]

Greetings Mr.Deepak Sood, You may check your mail for the reply. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Navi-kn6is]

Small posterior discogenic buleges at seen levels causing indentation thecal sac showing in my MRI .Stiffness and pain in upper back left side my posture of sitting is bad pain transfer into my left hand what should I do ?

[@proanatomy]

Greetings Mr.Navi, From the minimal information that you have shared it's indicative of a postero lateral disc bulge causing thecal sac indentation as well as a probable left nerve root compression too. That is the reason why you have pain radiating to the left hand and also I am suspecting some early degenerative changes happening with your vertebral column. In order to look into it further it's inevitable to have a look at your MRI report films. It would be helpful if you could share your reports to the following mail. [e-mail] I'll have a look into it and revert back to you soon. Regards Dr.Manu krishnan.K Founder : Proanatomy

[@Navi-kn6is]

@@proanatomy there is no nerve compression mri showing only straight curvature no significant disc herniated cvj is normal spinal cord is normal in morphology and signal intensity

[@Navi-kn6is]

@@proanatomy I am worried n tensed my age is 31 .

[@YashveerSingh-db8gs]

Hello sir My MRI Report says "mild disc bulge at l4/l5 is causing subtle indentation over anterior thecal sac" Please Can you explain it in detail and what are the precautions I should take. Does it is related with disc bulge and sciatica ?

[@proanatomy]

Greetings, Ofcrse there is s mild degree of compression on te covering of spinal cord,which will be the basic reason for your current symptoms. And we can discuss over it , if you could mail me the reports via email [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@YashveerSingh-db8gs]

@@proanatomy Okay sir Thanks I will share it

[@ppramod1996]

Thank you for explanation I have query I took. Mri for my back pains in the report it was mentioned as mild ventral thecal sac indentation no compression on any nerves I am not sure it is caused by disk bulge as report does not mention please reply

[@proanatomy]

Greetings, It would be great if you could share the MRI report inorder to give you a better idea on your condition. You may mail your reports to [e-mail] Regards Dr.Manu krishnan.K Founder : Proanatomy

[@ppramod1996]

​@@proanatomy yes have you the mri scans and the report

[@ppramod1996]

​@@proanatomy hello doctor I have shared my report please suggest for treatment 🙏

[@ppramod1996]

Thank you so much for the assessment

[@ppramod1996]

@proanatomy Can you please explain in detail what spasticity is and what kind spinal strengthening exercises should I do

[@Savita58694]

Does thecal sac compression treated by endoscopy

[@proanatomy]

Yes, But it depends upon the structure that which is compressing the thecal sac. Most commonly the disc herniations are the cause for thecal sac compression. In such cases, a minimally invasive procedure called "endoscopic discectomy" is done. If you have any further queries regarding the same, please feel free to comment here or email to [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@vijaykumarmk8552]

My mom also has this problem. Can you tell me whether I will do the operation or not?

[@proanatomy]

Greetings Vijay, I can't judge the condition without seeing the reports, do mail me the reports on my mail id and we will discuss over it. Regards Dr.Manu krishnan.K

[@jayahbean3129]

Thank you doc for the informative video. I have a subtle reversal of the normal lordotic curvature of the cervical spine and mild flattening of the thecal sac greatest at C4/C5. What symptoms can a person experience from this? I've been having thoracic back pain for 2 years. Could they be related?

[@proanatomy]

Thank you @Jayah Bean , Please do check your mail for the evaluation. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@proanatomy]

Greetings Miss Jayah Bean, Hope you have checked your mail and found the information helpful. If you have any further queries. You may post it as comments or you can mail them. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@user-ow2lk2ps4l]

Excellent tutorial

[@VanRaj0000]

Sir ,I have sent my MRI report please look into it and kindly suggest treatment and exercise . Thank you

[@proanatomy]

Greetings Mr.Abhishek, I have gone through the shared reports. Do check your mail for the suggestions attached. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@inca1819]

Sir, my MRI results: protude disc to the posteromedial, identiing the thesal sac, does not press the nerves. Can Endoscopy PELD fix it ? 🙏

[@proanatomy]

I can give you a better suggestion if you send me the actual MRI reports. And do mail the reports to my mail id: [e-mail]

[@sumitbisht4009]

Finding . small central protrusion of l5 s1 disc identing the thecal sac . Sir pls explain me this .

[@Navi-kn6is]

You have any pain or stiffness in upper back ?

[@proanatomy]

Greetings Mr.Sumit bisht, You could mail me your report to have a better look at the extend of your disc bulge and nerve root compressions. [e-mail] I'll revert back to you after going through the same shortly. Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@mrmnubaba]

• Diffuse disc bulge with posterocentral-right paracentral disc protrusion & ligamentum flavum hypertrophy at L5-S1 disc level causing indentation of thecal sac and compromising right neural foramens with mild impression over right exiting nerve roots. • Diffuse disc bulge with posterocentral disc protrusion & ligamentum flavum hypertrophy at L4-15 disc level causing indentation of thecal sac & narrowing of bilateral lateral recess with no exiting nerve root compression. Sir my mri report & plz help me ???

[@proanatomy]

Greetings Mr.Manu, I have gone through your brief MRI report. It's helpful if you could share your MRI and your current symptoms and your health status as a mail to [e-mail] So that I could better correlate the symptoms with your report and give you necessary suggestions. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@EssayEE]

What are your symptoms, I have same MRI finding, please reply

[@proanatomy]

Greetings Mr.Vijay Adhav, If you have these same findings, you would probably be having low back ache associated with a radiating pain to your back of thigh. And mostly you would be having difficulty in standing up from a prolonged sitting posture. You can share your further queries here. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Ramsangthakor4]

Sir mereko abhi ye problems 1l5s1 posterior disc protrution causing mild to modaret compression over dural theca travensing & exiting nerves more on right side 2 l5s1 posterior diffuse disc bulging with postero central and right postero lateral protrution causing compression over dural theca right exiting and bilateral traversing narves 3 l4l5 posterior diffuse disc bulging causing indentation over dural theca 4 year se he

[@proanatomy]

Greetings @bhavani RAMSANG , From the report you have shared , i beleive that you will already be suffering from low back ache and a radiating pain to the back of your thigh as those nerves are more affected. Do you have difficulty in walking and climbing stairs ? It would be helpful to explain further if you could share the MRI reports via Email to [e-mail] I'll have a look and let you know. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Jaggededge112]

Dr. Manu Krishnan. K I had a medical emergency the other day where I went quadraplegic for a little while, I ended up going to the er because I was scared, they did a ct scan and found that cervical thecal sac is being compressed in the c6/c7 fused vertebra that hasn't fused properly from my acdf back in 2016 will I have to deal with this the rest of my life?

[@proanatomy]

Greetings @Jaggededge112, On considering the facts that you have shared here. It's evident that there is a probable compression caused by the malunioned fragments. I could give you a better explanation if I get to see your actual reports for clarity. You may share it via mail to: [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Jaggededge112]

Thank you. I am still waiting for them to release my ct scan. They are taking forever.

[@proanatomy]

@Jaggededge112 Let's wait till the reports arrive. Because it's difficult to give you a clear picture without getting to know the current status of your vertebral column. We will discuss upon it after the results are out. Regards Dr.Manu krishnan.K Founder : Proanatomy

[@Jaggededge112]

@@proanatomy thank you doctor.

[@Jaggededge112]

I was finally able to access them. I sent a zip file with all the images and the report with it.

[@a-021kiran6]

Can you please give me a suggestion, sir I'm facing this problem from 2 years sir, i have used many medicine but I can't recover

[@racikiqbal]

Wt do u think abt laparoscopic surgery

[@proanatomy]

I can't give you a suggestion without seeing the reports. Do mail me the reports so that I can have a look at it. Mail your reports to [e-mail] Regards Dr.Manu Krishnan.K Founder: www.proanatomy.in

[@proanatomy]

Well that is a valid option but there are certain criterias for choosing the same. It varies as per the patient's health status and many more factors. Regards Dr.Manu krishnan.K

[@beerappah466]

Very useful information sir, I ahve mailed my reports please help me. I can see you have replied to all the comments I hope i will also get the reply from you.

[@proanatomy]

Will surely look into your mailed report soon. Regards Dr.Manu krishnan.K Founder: www.proanatomy.in

[@surangikakumari3474]

Doctor What is Broad-based disc bulge, mild hypertrophy of ligamentum flava and posterior thecal sac indentation at L-L5 nd L5 S1.

[@proanatomy]

Greetings Miss.Surangika Kumari, More than the disc bulge you have mentioned, the ligamentum flava(the ligaments supporting the vertebrae from it's backside is found inflamed and causing the compression over the spinal cord covering from its backside at the low back region. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@litanbehera7951]

Apkoe disc bulge hua kiya

[@proanatomy]

Greetings Litan behera, So far I haven't been affected with a disc bulge. If you take care of your spinal column and it's supports , then the chances of disc bulge is minimal. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@litanbehera7951]

@@proanatomy iska matlab kiya hey hum kabhi Thik nahi hoe saktey Mild Disc Bulge

[@proanatomy]

It means that you can handle the disc bulge with a conservative management if and only if the age and other factors are in favour. Regards Dr.Manu krishnan.K

[@yasminritaa7155]

Hello sir, how can i send you my MRI report , and will you help me to understand it?

[@proanatomy]

Greetings @yasminritaa7155 You can mail me your reports to [e-mail] I'll revert back to you with the details. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@12NFLtitles]

I had normal spine mri report, What's fluid changes seen in the calsac mri mean?

[@proanatomy]

Greetings, I believe that you are mentioning about the fluid changes in thecal sac. Please do recheck your MRI report and clarify the same. I'll revert back to you as soon as I get the detailed report. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@a-021kiran6]

How to recover from this prblm sir

[@proanatomy]

Greetings Kiran, Do forward your reports and detailed treatment history to the following mail id [e-mail] Regards Dr.Manu krishnan.K Founder: www.proanatomy.in

[@ahmedhafeez9143]

Ser thecal sac can u show.s this prblm exercises

[@proanatomy]

Dear Ahmed, I didn't understand your question, can you elaborate it a bit ?

[@Ashwiniashu-hp5qh]

I have right neck pain, unsteady, dizziness, migraine... because i met accident in that time neck injured in MRI report they mentioned that c5-6 mildly indendent/ compressed nerve what is the solution for that

[@proanatomy]

Greetings Miss Ashwini, I could give you an explanation after seeing the MRI reports in detail. It would be great if you could mail the same to [e-mail] Will revert back to you after going through it. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Ashwiniashu-hp5qh]

@@proanatomy I have only hard copies of MRI how can I send

[@upsc.209]

Sir my MRI report is desiccated L3-4, L4-5 and L5-S1 intervertebral disc Annular bulge of L3-4 intervertebral disc seen with out significant compression Annular bulge of L4-5 intervertebral disc seen indenting the thecal sac with left existing canal stenosis Posterior central bulge L5-S1 intervertebral disc seen identing the thecal sac. Sir is surgery required ?

[@proanatomy]

You can forward me the MRI report with film to the mail id [e-mail] Then I would be able to give a better suggestion. Regards Dr.Manu krishnan.K Founder : Proanatomy

[@hearty1421]

Dr. I have sent in my result of mri kindly assist back pain is really affecting me greatly

[@proanatomy]

Greetings @sosanyajuliet6261, I'll have a look at your MRI report and revert back to you soon. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Dbrautodetail]

Hey doc would a indentation issue on the cervical area cause vertigo or balance issues? Have had tons of tests and MRIs and always have neck pain. C5-C6: Mild disc bulge with minimal central disc protrusion indenting the ventral thecal sac with mild central canal narrowing.

[@proanatomy]

Greetings, As per the shared details of your MRI report, there's an evident disc bulge that is causing a compression on the covering of your spinal cord. Along with that there is a reduction in the diameter of the canal through which the spinal cord passes. These two structural changes itself can cause the following symptoms, 1. Stiffness of the neck 2. Numbness or weakness of hands either one sided or affecting both the hands 3. Radiating pain along the shoulder extending till your elbow. 4. And rarely as you informed there can be vertigo and associated giddiness. 5. In some other rare cases there has been spontaneous episodes of headaches without any known cause. It will be much appreciated if you could mail me the MRI reports ( including the MRI films). It would be helpful in explaining your condition further. Regards Dr.Manu Krishnan.K Founder : Proanatomy Email: [e-mail]

[@Ashwiniashu-hp5qh]

I am also having same problem

[@MonikaSharma-gx6fw]

I too have the same problem and my Dr say that the MRI is normal I mean how can it be normal my whole left part of body is numb and I have lost temperature sensation..They told me that this problem will not increase..

[@proanatomy]

Greetings Miss.Monika sharma, From the minimal information that you have shared, it is evident that you might be having a history of a spinal injury. Did you had any accidents or falls recently before this symptoms has developed ? Regards Dr.Manu krishnan.K Founder: Proanatomy

[@footballchannel2821]

​@@proanatomysir my mri report says, straightening of cervical spine noted, Mild posterior annular bulge noted at c3-c4 to c5-c6 levels causing anterior thecal sac indentation without significant neural compromise Sir my scalp have numbness and legs too, is this normal

[@panther.5745]

What does "thecal sac was lax" means???

[@proanatomy]

It would be great if you could share me the report stating "Thecal sac was lax". I could give a better explanation if you do so. Please mail the reports to email-id: [e-mail]

[@rishabhvishwakarma861]

Sir what is the treatment me the same for C3 C4 cervical vertebra

[@proanatomy]

Greetings Mr.Rishabh vishwakarma, As far as the treatment is concerned, there's a lot more information required regarding your present condition. Suggestions can only be given after a thorough evaluation of your medical history , medical reports , cause of the indentation and correlating then with your presenting symptoms. As a random assumption, When you have the indentation at the level of C3-C4 level, there are possibilities for radiating numbness followed by pain over the neck and shoulders and weakness of the hands on sitting posture for longer duration. Revert back with relevant information through mail to [e-mail] And I could explain you further in detail only after assessing your condition. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@rishabhvishwakarma861]

Sir I have some swelling in the right occepetal region only and pain is present only on the upper neck region,I don't know why the swelling is and and crackling sound is present dunring movement of neck in every direction

[@rishabhvishwakarma861]

I am not able to hear sharp sounds from my right ear like bell ringing it aggrevates the tah vomiting and vertigo type symptom

[@rishabhvishwakarma861]

Not able to put earphones on the right ear,it agrrevates the vertigo and vomiting like symptoms

[@rishabhvishwakarma861]

Why the swelled occeput area is compressed with pillow during sleep only in the right aspect then vertigo increases rapidly

[@Akshya101]

Just sent you my mri over email Dr Manu. Kindly suggest treatment 🙏God bless you

[@proanatomy]

Do check your mail for the reply 👍🏼 Regards Dr.Manu Krishnan.K Founder: www.proanatomy.in

[@raoibtesam7369]

Dr Manu .. Sir im sent you MRI Report on Email kindly suggest me treatment Thank you

[@proanatomy]

I'll surely look into your mail. Regards Dr.Manu krishnan.K Founder: www.proanatomy.in

[@arraheem5689]

hi sir, my mri says mild thecal sac indentation, so do i need to completely rest or need to do any exercise?

[@proanatomy]

Greetings Mr.Raheem, Without knowing the extend of compression and the level of compression, I won't be able to give you any kind of interpretations or suggestions. Expecting a detailed report from your side. Regards Dr.Manu krishnan.K Founder :Proanatomy

[@arraheem5689]

@@proanatomytq for ur reply sir, so where i need to submit my medical records sir?

[@proanatomy]

Greetings Mr.Raheem, You may share your reports through email to; [e-mail] Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@arraheem5689]

hi sir i have sent u mail with all reports. could u pls describe, and my knee also feel weekness and heel, or wen i sit for long mu spinal and back is paining.

[@proanatomy]

Greetings , I'll look into the reports and revert back to you. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@mr.bhaskardas1248]

Sir plz say...why it cause

[@proanatomy]

Greetings Mr.Bhaskar Das, The thecal sac indentation usually occurs followed by a backward protruding inter vertebral disc(posterior disc bulge). And the reasons for this disc bulge are many, # it can be due to a sudden fall on back # it can be because of degenerative changes of spine #or it may happen after a mechanical injury to spine Which among the above you need to know in particular ? You can comment your further queries here. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@sajilum124]

Super ❤️

[@proanatomy]

Thank you and keep supporting Regards Dr.Manu krishnan.K Founder: www.proanatomy.in

[@Lullabyhaven3]

What is Thecal sac distortion?

[@proanatomy]

In simple terms, thecal sac is like a socks that you wear on your feet. Any distortions or compressions on this thecal sac will in turn affect the spinal cord placed safely within it. Thus by producing the symptoms and complications. Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@sharatht4831]

Thank you sir ❤️

[@proanatomy]

👍🏼

[@debjitpatar1326]

What is the treatment

[@proanatomy]

Greetings Debajit , Recieved your mail with attached reports. Do check your mail for suggestions. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@debjitpatar1326]

@@proanatomy Thank you so much sir 🙏

[@awsome432ij]

Hello Doctor, I have Thecal SAc indentation at L5 S1 level but I don't have any neurological symptoms. Can I reverse my condition?

[@proanatomy]

Greetings Mr.Manoj Kumar, From the minimal details you have shared here, the reversibility of the condition depends entirely on the factors like your age , spinal muscle strength and also other factors like the increased body weight , wrong sitting postures at workplace etc. Inorder to make a clear suggestion, it's inevitable to know more about all these factors. Looking forward to your further queries. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@chetanyabagherwal8878]

What you mean...you don't have any problem or.. stiffness in back?

[@flamboyant731]

Thank you

[@proanatomy]

Greetings , Really glad to hear from you. Keep learning and keep spreading knowledge with those in need. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@flamboyant731]

@@proanatomy will do😍

[@MultiRaghu123]

Sir does anterior thecal sac indentation mean slipped disc?

[@proanatomy]

Here Thecal sac refers to the covering of spinal cord. In most of the cases this covering will be compressed by a protruding disc(intervertebral disc prolapse) or some other masses. When the Thecal sac is compressed anteriorly, then its called as anterior Thecal sac indentation. Regards Dr. Manu krishnan.K (Founder www.proanatomy.in)

[@MultiRaghu123]

@@proanatomy dr i hv tingling sensations in both my hands and legs MRI shows disc bulges from C3 to C7 and from L4 to S1 What should I do

[@proanatomy]

@@MultiRaghu123 You can email me on [e-mail]

[@lovehockey6129]

@@proanatomy Ok So Sir Thecal Sac Ko Disc Touch Karta To Sir Uska Bhi Endoscopy Surgery Hota Hai Kya Please Reply 🙏🙏🙏🙏🙏

[@proanatomy]

@@lovehockey6129 in certain cases the discectomy is done to relieve the pressure on Thecal sac. It depends upon the severity of the condition. If you have any further queries, do mail me on; [e-mail] Regards Dr.Manu Krishnan.K Founder : www.proanatomy.in

[@appuinspiration6688]

Thanku

[@animeshbarman1380]

How can I get relief from this problem sir?

[@animeshbarman1380]

Please help me sir 🙏

[@proanatomy]

Greetings @animeshbarman1380, The recovery depends on a lot of aspects. Without proper understanding of your condition, it is difficult to give you a suggestion over the same. You may share your medical reports via mail to [e-mail] Regards Dr.Manu krishnan.K Founder : Proanatomy

[@chandradas9404]

Hello Doctor I have Diffuse Disc bulge upon L4-5 level causing indention upon the thecal sac What is the remedy?

[@proanatomy]

Do send me the MRI scan date on the email id- [e-mail] Let me have a look at it Regards Dr.Manu Krishnan.K Founder: www.proanatomy.in

[@ganeshlamichhane1043]

@@proanatomy hello doctor i have mild disc bulge in l4 l5 area . It is to paining

[@proanatomy]

You can mail me the reports to [e-mail]

[@maheshg4025]

How to cure is any sergery or medicine

[@proanatomy]

The cure depends upon the severity of the condition. In case of mild Thecal sac indentation, moderate spinal muscle stregthening exercises along with medications can give a considerable amount of relief and surgery is opted only for the cases with severe indentation and associated spinal canal stenosis. I'll be posting a video on spinal canal stenosis soon. You can refer that later for further information. Regards Dr. Manu krishnan.K Founder: www.proanatomy.in

[@maheshg4025]

@@proanatomy • C3-4: central disc protrusion with posterior central annular tear causing thecal sac indentation. C4-5: left para central disc protrusion causing thecal sac indentation with mild narrowing of left neural foramina & mild indentation of left exiting nerve root.."THIS IS THE MRI REPORT would you please EXPLAIN THIS IS SAVIUR OR NOT.

[@proanatomy]

You can mail me the MRI report to [e-mail] Let me have a look at it.

[@maheshg4025]

@@proanatomy ok i will sent..

[@maheshg4025]

@@proanatomy pls check mail

[@mail2tejashwinijayaprakash949]

Hello sir could you please tell on anterior thecal sac indication

[@proanatomy]

When the posterior disc bulge presses on the Thecal sac covering the anterior/ventral aspect of spinal cord, that is known as anterior Thecal sac indentation.

[@mail2tejashwinijayaprakash949]

@@proanatomy Hi sir I have mild disc bulge causing mild indication of anterior thecal sac .t C3 C4 and C4 C5 and C5 c6 level I can feel irritation in toungue and sharp pain in head and hands is this from. Disc indicating thecal sac ? Requesting you to answer ..sir

[@proanatomy]

@@mail2tejashwinijayaprakash949 You can mail me your MRI report to my mail id - [e-mail]

[@mail2tejashwinijayaprakash949]

@@proanatomy Had a doubt does Ct scan contrast causes any bad side effects like nerve pain and pulling all these sir?

[@proanatomy]

CT scan does cause a considerable amount of radiation exposure when compared to MRI. But there's no studies showing that a single exposure to radiation by CT SCAN to cause any side effects as u mentioned above.

[@JyotiVerma-pp1lp]

sir mujhe yhi prblm hai😭 , ky ye thik hote h???

[@proanatomy]

Greetings Miss.Jyoti Verma, The recovery from the thecal sac indentation depends on many factors. 1.Your age 2.The extend of indentation and the site of indentation. 3.Wether it's a disc bulge or annular tear 4. Wether it's caused by an injury over the region. So I may be able to predict the prognosis only after knowing these facts. If you need to discuss upon the same. You may mail your reports to [e-mail] Regards Dr.Manu Krishnan.K Founder: Proanatomy

[@proanatomy]

Greetings Miss Jyoti Verma, Do check your mail for the detailed information and suggestions on your MRI report. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@litanbehera7951]

mild disc bulge at l4 5 level indenting thecal sac without any neural compression recovery hoe sakta hey kiya age 24

[@proanatomy]

Greetings Mr.Litan, I have replied to your mail. Please do check it. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@litanbehera7951]

Sir back pain 40 percentage rehey ta hey sitting per

[@shilpabardhan9313]

Sir I have mailed you my MRI report, kindly check once and suggest me something

[@proanatomy]

Greetings Miss.Shilpa Bardhan, Please check your mail for the reply. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@nandhuaa8014]

what is the mail id

[@ravidutt2099]

s1 level indenting the thecal sac early degenerative changes in hindi

[@drjayaramkrishnam4576]

Valuable

[@proanatomy]

Greetings, Really glad to hear from you. Keep listening , keep learning and keep spreading the knowledge. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@lovedreams5521]

👍

[@Ashwiniashu-hp5qh]

Pls reply I am waiting

[@proanatomy]

Greetings Miss Ashwini, Do check your mail once. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Ashwiniashu-hp5qh]

@@proanatomy I have replied please do check your mail sir

[@user-gs7ou1bs2b]

It can be repaired itself permanently

[@proanatomy]

Greetings , We can't really say that it will be repaired itself. Because there are a lot of factors that have precipitated over time to cause this condition and its reversal is never that easy as you said. A proper examination and medical history assessment is inevitable to give a picture on the recovery process. Let's discuss it further via mail. You may mail to [e-mail] Regards Dr.Manu krishnan.K Founder: Proanatomy

[@user-gs7ou1bs2b]

I am 15 years boy how many years it take to repair permanently I can play badminton or not

[@proanatomy]

Greetings, Since you are at a young age, it's quiet possible that you have a good prognosis. Yet I cannot comment or give any suggestions based on these little information you have shared. It would be great if you can share more information on your injury. You may mail the same to te above mentioned mail id. Regards Dr.Manu krishnan.K Founder:Proanatomy

[@user-gs7ou1bs2b]

OK thanks sir

[@user-gs7ou1bs2b]

I have shared my MRI report to you in mail sir

[@michaelknight2721]

Hi doc,I have compression of the thecal sac at L4/5 from an accident I had last year,I have a bone fragment trapped in the foremen at L5 with bilateral recess. I have a slipped disc at L4 and osteoporosis. Would the mild procedure suit me? Thankyou

[@proanatomy]

It's difficult to give you a clear suggestion based only on the shared facts. It would be great if you could share the complete medical history. And please do clarify what you meant by the mild procedure also. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@michaelknight2721]

The mild procedure is a minimal invasive lumbar decompression procedure done as an outpatient with special tools.

[@proanatomy]

@@michaelknight2721 It's an endoscopic procedure and from the information that you have shared with me I beleive that would be a better option to get relieved with minimal recovery period. Note: you haven't mentioned your age and your current health status. While considering MILD procedure, the above said facts are also important. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@sumitbisht4009]

I want to send you my mri report

[@proanatomy]

Greetings Mr.Sumit bisht, You can share the reports via [e-mail] I'll revert back to you after going through the same. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@sumitbisht4009]

@@proanatomy sir it's shows invalid email adress

[@proanatomy]

Do try once again to this mail id [e-mail] Regards Dr.Manu krishnan.K

[@sumitbisht4009]

@@proanatomy sir I drop my report

[@dhanapriyaramachandran2775]

It's any biggest problem

[@proanatomy]

It depends on the extent and the structure that is affected. If there is a profuse posterior disc bulge then it can compress the thecal sac along with the spinal cord within it. This by producing more severe symptoms. It can only be assessed after reviewing the MRI reports and presenting complaints of the patient. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@shylabrooklyn2786]

Hi

[@proanatomy]

Glad to hear from you. Do you have any queries related to it? Regards Dr.Manu krishnan.K Founder: Proanatomy

[@Moneymakerarab]

Sir I sent you my MRI for your support

[@proanatomy]

Greetings Mr.Mohamed Fathy, I have gone through the reprots and do check your mail for the suggestions. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@fearlessvoice9832]

Sir I have sent a mail please check

[@proanatomy]

Greetings, It would be great if you could please specify your mail id. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@atulrahane1505]

Hello sir

[@proanatomy]

Hello Mr.Atul Rahane, You may share your queries here. Regards Dr.Manu krishnan.K Founder: Proanatomy

[@ravidutt2099]

Hindi m batao sir

[@ravikopaniya7217]

Are sir ji hindi me batao es topic ko