Wanna play Dr?
We have the results of dh's MRI from last week. It has changed a good bit since his first one last May. He has an appt with the neuro this afternoon to decide the next step which is leading to a multi-level lumbar fusion. I'm here to ask the 'real experts' what we should be asking the dr. I hope this won't be too long - I guess I want to hear from anyone who has treatment for any of these findings.
L1-2 - loss of disc sig, minimal bulge
L2-3 - severe disc narrowing, vacuum disc, sclerotic end plates/osteophytes, extensive lumbar degeneration, slight retrolisthesis (spondylolisthesis), small bulge, hypertrophied facet joints, right L2 nerve root may be contacted by disc
L3-4 - mild loss of disc sig, minimal bulge, hypertrophic facet/ligamentum flavum w/ slight encroachment on central canal & foramina w/out mass effect on nerve roots
L4-5 - disc narrowing, diffuse disc bulge, more hypertrophic changes, mild right and severe left foraminal stenosis, cyst on left facet joint
L5-S1 - loss of disc height, diffuse disc bulge, hypertrophy, conjoined left S1-2 nerve root
Impression - multilevel DDD, L2 disc impinging on right L2 nerve root. Moderate to severe stenosis.
So, what is the biggest contributing factor that you can figure that is causing the chronic pain? I think a 'normal' MRI would show some DDD but how bad do you think this is? Be honest, please. He also has some significant problems with the cervical area in addition to two very bad knees.
Thanks for bearing with me - AGAIN!