LV-SI porckorongsérv

2011.10.27. - Írta: Orvos válaszol

LV-SI porckorongsérv

Tisztelt Doktor Úr!

44 éves vagyok. 2011 tavaszától erősödő jobb oldali derékfájdalmam van.
2011. október 18-án kaptam kézhez CT leletem mely a következő:

Lelet: L III, IV iv. rés vékony rétegű nativ CT- vizsgálata.

A vizsgált szakaszon spondylosis, kétoldali, caudal fele súlyosbodó kisízületi arthrosis , a sacroiliacalis izületi rés cranialis részleténél jobb oldalon kapocsképződés figyelhető meg.

L III-IV magasságában számottevő discus előboltosulás nem ábrázolódott.

L IV-V magasságában kp.vonalas, lapos protrusio figyelhető meg, mely a durazsákon min.benyomatot okoz, a discus ezen kívül még a jobb foramenbe is beterjedve azt szűkíti, de a kilépő identicus gyököt nem éri el.

L V-S I magasságában jobb túlsúlyú, lapos, meszes discus előboltosulás észlelhető, mely a durazsákot és a gyökeredést követően a jobb S 1 gyököt érinti,de nem deformálja, a jobb foramenbe beterjedve azt szűkíti, de a kilépő identicus gyököt nem éri el.

Kérdésem, hogy e betegségem mennyire "komoly", sportolhatok-e tovább,(megyei szintű asztalitenisz) illetve milyen gyógymódot, kezelést ajánl rá.

Válaszát megköszönöm!
Tisztelettel:
Sz. G.
Tatabánya

Kedves Széles Úr!

Nem tudom, miért csinálták a CT vizsgálatot. Milyen panasza van? A CT anatómiai elváltozásokat mutat, ilyen és hasonló anatómiai elváltozások 46 éves korban szinte mindenkin előfordulhatnak, hiszen porckorongjaink 20 éves kortól vizet vesztenek és laposabbakká válnak. Jobboldali derékfájását valószínű LV-SI porckorongsérve okozza. Kezelési tanácsot vizsgálat nélkül nem tudok adni, de ezt a porckorongsérvet operálni valószínűleg nem kell. Gyógytorna, esetleg súlyfürdő kezelés, gyulladáscsökkentő jót tehet. Bízza magát kezelőorvosa tanácsaira.
Ha panaszai csökkennek, nyugodtan sportolhat.

Szív. üdv.:

Dr. Bálint Géza

Hozzászólások

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Tisztelt Dr.úr. Évek óta tartó baloldalon deréktàji fàjdalmam van ülésnél fekvésnél is fàj,hajolgatni nem tudok ert fokozódik a fàjdalom,sokàig nem tudok àllni,a jobb térdem àllandóan fàj,ha 20percnél többet megyek iszonyatosan nyilal. Ct.eredményem:LIII-IVésL-IV-Vmagassàgàban kis,lapos kp vonalas protrusio okoz min.deformitàst a duràzsokon. LV-SImagassàgàban kis,kp.vonalas discus elöboltosulàs figyelhető meg mely a durazsákon kis benyomatot okoz. A tanàcsàt kérném mit jelent az eredmény mit tehetek? Köszönöm. Mónika.42.éves.

Mónika | 2014-06-17 21:41

Tisztelt Dr.úr. Évek óta tartó baloldalon deréktàji fàjdalmam van ülésnél fekvésnél is fàj,hajolgatni nem tudok ert fokozódik a fàjdalom,sokàig nem tudok àllni,a jobb térdem àllandóan fàj,ha 20percnél többet megyek iszonyatosan nyilal. Ct.eredményem:LIII-IVésL-IV-Vmagassàgàban kis,lapos kp vonalas protrusio okoz min.deformitàst a duràzsokon. LV-SImagassàgàban kis,kp.vonalas discus elöboltosulàs figyelhető meg mely a durazsákon kis benyomatot okoz. A tanàcsàt kérném mit jelent az eredmény mit tehetek? Köszönöm. Mónika.42.éves.

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