Question
The following is my MRI report...can you please suggest me possible treatment or solution...

Name: Dr. Latha Abraham
Age: 47 Y
Gender: Female

Clinical Notes: Acute PIVD with right sciatica
3.0 TESLA MRI LUMBO-SACRAL SPINE
(T1 and T2 sagittal and axial scans. STIR coronal of both SI joints. T2 sagittal of whole spine)
?Lumbar vertebrae shows normal signal intensity
?There is sacralisation of L5.
?Mild scoliosis to right side noted
?L4 vertebra shows mild posterior slippage over L5
?L4-L5 disc shows loss of signal on T2WI with central extrusion indenting thecal sac and narrowing nerve root canals, more on right side.
?Thecal sac diameter is as follows:-
Level      AP diameter (cm)
L1         1.70
L2         1.68
L3         1.61
L4         1.56
L5         1.36
?Facet joints are essentially normal.
?Conus is normal.
?SI joints are normal.
?Paraspinal soft tissues are normal.
?Screening study of cervico-thoracic spine shows normal signal intensity and alignment of vertebrae with no evident compression of thecal sac.

IMPRESSION
 Mild posterior slippage of L4 over L5.
 Sacralisation of L5.
 Degenerative change L4-L5 disc with central extrusion indenting thecal sac and narrowing nerve root canals more on right side.
 Essentially normal screening study of cervico-thoracic spine.

Answer
Thank you for your correspondence Dr. Abraham,
Depending on the overall health and weight and compliance of the patient I would seriously consider my High Performance Healing System. It is an integrative system of care combining Non-surgical spinal decompression with Class IV Laser Care and Disc Renewal Plus. In our world centre clinic we often see excellent results within 3-6 weeks. Failing this the patient may need to consider surgical intervention.

Regards,
Dr. Ron Nusbaum