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Expert: - 7/17/2009


Question
slip disc L3-4 shows dehydration with diffuse disc bulge 1-2 mms  L5 S1 shows dehydration with diffuse annular bulge of 1-2 mms left lateral recess and proximal foraminal nerve root

Answer
Hello ashaniranjan,

I am sorry to hear of your condition.

Is surgery needed?

I have no idea.

Decisions on surgery are rarely made on one test finding.

".........slip disc L3-4 shows dehydration with diffuse disc bulge 1-2 mms  L5 S1 shows dehydration with diffuse annular bulge of 1-2 mms left lateral recess and proximal foraminal nerve root......."

slip disc ? I have no idea what a slip disc is.

Sometimes I have patients come in and talk about a 'slipped disc'.
I have never given that diagnosis, I have never gotten that diagnosis from another DOCTOR.

slip disc = herniated disc?, back pain?, dgenerative disc?, disc bulge?, protrusion?, sciatica?  I have never seen an Xray, MRI, or CT scan that said  ,  slip disc  .

Disc bulges? "....L3-4 shows dehydration with diffuse disc bulge 1-2 mms  L5 S1 shows dehydration with diffuse annular bulge of 1-2 mms...", common findings. Disc bulge? not really a criteria for surgery.  Conservative care, extended period, monitor response.

".......left lateral recess and proximal foraminal nerve root......."
huh?  this is your MRI report?

#1)  I cannot understand your MRI results as given here.

#2)  If a radiologist gave you a diagnosis of " slip  disc  " -   
       get a new radiologist.

#3)  Surgery needed?  from this report - - -  I have no idea.

#4)  Surgery needed?  from one test?- really need additional
      examination findings, more history, treatment rendered and
        prior results.


PLEASE do not hesitate to RE-contact me here at AllExperts.com if you need further information, want to give me further, etc.

Thank you for the question.

Wishing you Good Health Naturally !

Your Staten Island Chiropractic expert,

Dr. Victor Dolan, DC DACBSP
email newsletter: - - - drvictordolan.chiroweb.com  

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Dr. Victor Dolan, DC, DACBSP

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Staten Island Chiropractor Dr. Victor Dolan | 718-981-9755 | www.drvictordolan.net | www.statenislandchiropractor.com | Nutrition, Sciatica, Headache, Neck Pain, Back Pain, Herniated Disc, Workers Compensation, Auto Accident Claims, Vertebral Subluxation Complex, Muscle Spasm

Experience

Palmer College Graduate 1983; Thirty years in practice in my hometown of Staten Island, New York. Expert in Neuro-musculo-skeletal complaints. Utilizing techniques such as Chiropractic via Palmer Package, Diversified, Thompson, SOT, Activator, Manipulation Under Anesthesia and Nutritional Guidance. I am also a Certified Nutritionist.

Organizations
Pi Kappa Chi Alumni Association President; PKX Alumni Brother of the Year; Knights of Columbus Masons; Ancient Order of Hibernians

Publications
American Public Health Association (2003) - Oral Presentation

Education/Credentials
Bachelor of Science (cum laude) Wagner College 1979; Doctorate of Chiropractic (cum laude) Palmer Chiropractic 1983; Licensed Doctor of Chiropractic, New Jersey (38MC00634000) & New York (X3567); Diplomat, National Board of Chiropractic Examiners; Certified Chiropractic Sports Physician - A.C.A./New York Chiropractic College (1986); Diplomat, American Chiropractic Board of Sport Physicians (1996); Diplomat, American Academy of Pain Management (1998); Certified Personal Fitness Trainer; Certified Emergency Medical Technician - New York State and National Registry; Certified Manipulation Under Anesthesia (1998); Certified Clinical Nutritionist - International & American Assoc. of Clinical Nutrition (1999)

Awards and Honors
Prevention Magazine – Award for Chiropractic Excellence 1998; Chief of Chiropractic - Doctors Hospital - New York 1997; SICTV NOVA (Notable, Outstanding Video Achievement Award) - Award for Most Popular Series (1996/1997/1998); Volunteer Heart Resuscition Unit - Commendation for Meritorious Service (1994); SICTV NOVA (Notable, Outstanding Video Achievement Award) - Best Health Series (1994); Staten Island Richmond Lions - Melvin Jones Fellowship Award (1993); Pi Kappa Chi - Alumni Fraternity Brother of the Year (1987/1988); American Public Health Association (2003); American Chiropractic Board of Sport Physicians Symposium Presentation - Adolescent Athletic Injury (2004)

Past/Present Clients
Doctors Hospital of Staten Island - Chief of Chiropractic (1997-2001); Curtis High School Football (1988 to present)- New York City PSAL Football CHAMPION (2007)

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