I am very new to these boards, and I guess health problems in general so please forgive me if I am asking a question (or in a situation) that has already been asked 1000 times before. I browsed these threads as best as I could because sitting in this chair too long is wearing on me. I am 28yo and i feel like I'm goin 80. It seems to me like MRI results are written differently depending on who writes them, so the same problems are just worded differently. I am hoping anyone can advise what to do or expect based on these MRI results:
[QUOTE]There is normal marrow signal throughout and normal alignment. There is disk desiccation at L5-S1 with loss of intervertebral disk space height. The conus is located at T11-12 and is unremarkable.
AtL5-S1, there is a large central disk extrusin which is greater in the right paracentral region. It abuts the right S1 nerve root before exiting. There is very minimal right neural foraminal narrowing. The remainder of the disk levels are within normal limits.
Impression: Disk extrusion at L5-S1 which very minimally narrows the right neural foramen and abuts the right S1 nerve root before exiting.[/QUOTE]
How my GP explained this is, "you have broken your disk and need to see a surgeon." I have never had a GP before, and this is my second time meeting him, and we definitely have a language barrier between the two of us. So if anyone can explain this to me in Laymen's terms I would really appreciate it.
Welcome - you'll find a wealth of information on this site, and we're glad you're here.
I'm reading that your L5-S1 has a bulge or herniation that is impinging on the nerve that is just to the right of the disc.
I've been seeing an ortho surgeon for 2 years now, and have gone from feeling 85 to feeling 35-45 (had an IDET last summer). If you do see one, PLEASE try to find the best in the region. It's worth the extra money! A neuro surgeon on staff OR an ortho who works on trauma/sports related problems tend to understand the intertwining of bones and nerves.
Each patient needs to ensure that their dr. is tailoring their efforts to their specific problem. So, don't be afraid to tell them of your concerns and push them into properly diagnosing and treating your pain.
Welcome to the board. First you need to see a specialist. You will probably be referred for PT and then maybe some other treatments before ever considering surgery. Some things do resolve on their own with a good PT. You may get several different opinions and realize that if you start to have problems with your bowel/bladder, then that requires immediate attention and is considered emergent , otherwise find a good specialist and start from there. Good luck to you
[QUOTE=joshS] we definitely have a language barrier between the two of us. [/QUOTE]
Get a new gp. I feel like it's a waste of time going to a doctor you can't communicate with. Also get a referral to an orthopedic spine specialist, one with a spine fellowship.
Last edited by flyonthewall; 02-10-2005 at 03:44 AM.
It sounds like you have a disc herniation at the L5-S1 level. The "foraminal narrowing" just means that it's causing the space the nerves pass through (the foramin) to be a little bit narrowed, and it's impinging on your S1 nerve root. Make sure you see a spine specialist- it seems like your current doc isn't helping you much. Good luck!
I think the others have read the MRI correctly so no need to have me chime in, lol. I would recommend that you make an appt. with a spine specialist (either an orthopedic or a neurosurgeon) for treatment. Depending on the severity, they might try physical therapy, steroid injections, or recommend surgery. If surgery IS recommended be sure to get at least a second opinion if not a third. It should be the very last choice and done only if there are no other viable means to help you.