What does it mean by a minor bulging annulus or disc spur complex is appreciated at the c4 c5 level causing minimal impression on anterior thecal sac and right foraminal encroachment?

A minor bulging annulus or disc spur complex is appreciated at the C4-C5 level. This means that there is a slight protrusion of the intervertebral disc material between the C4 and C5 vertebrae. This protrusion is causing minimal impression on the anterior thecal sac, which is the membrane that surrounds the spinal cord. It is also causing right foraminal encroachment, which means that the protrusion is narrowing the opening through which the nerve roots exit the spinal cord.

These findings may be due to a variety of factors, including aging, injury, or degenerative conditions of the spine. They can cause a variety of symptoms, including pain, numbness, and tingling in the neck, shoulders, and arms. Treatment options for a bulging disc or disc spur complex include conservative measures such as physical therapy and medication, as well as surgical intervention in some cases.