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Old 03-04-2007, 10:48 AM   #1
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specificgravity HB User
Post MRI report - thoughts?

I had two MRIs done, one on the lumbar, and I thought I'd post the MRI report here just to see if anyone had similar reports come up on them and what their eventual treatment was. I know everyone is different, but I'm not seeing the OS till the 27th and I'm trying to be super-prepared when I get in there!

"At the L5-S1 level, there are mild degenerative facet joint changes, disc desiccation, and diffuse disc bulging in addition to small central posterior disc potrusion which mildly impresses upon the adjacent thecal sac. Mild foraminal narrowing on the right and mild to moderate foraminal narrowing on the left is also noted at the L5-S1 level.

The intrathecal contents are intrinsically unremarkable."

Thoughts?

 
Old 03-04-2007, 11:36 AM   #2
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Re: MRI report - thoughts?

[COLOR="Navy"][B]
Hi,
Now I'm no doctor so I'm going to tell you what I think.

Intrathecal saying everything is unremarkable mean's good. Thats what I was told too.

the other stuff has some mild problems but I didn't see any serious injuries or anything ,not saying your bulge isn't causing pain .

Your probably gonna have to wait till your doctor looks at your MRI's because radioligist are not always right with there finding's..

Good luck[/B][/COLOR]

 
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Old 03-04-2007, 11:36 AM   #3
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Re: MRI report - thoughts?

Hi,

Sounds similar to mine...all resulting in stenosis and some sciatic pains amongst other things. Hey, your spine's getting a bit old, even if you're not!

The stenosis (narrowing of the foramina/canal) could be the bulging disc or the facet joint, or both. In my case I'm on transforaminal injections. The surgery (cutting away some of the joint) is being held off to see if the injections work at getting the swollen nerve down (not mentioned in the reports) and letting the disc regress (although I've been waiting for it to regress for 18mths!). If not, then its certainly the joint that's causing all the problems.

Your surgeon should talk through your symptoms and then make his own interpretation of the scans, then come up with a diagnosis and treatment, so s/he should talk you all through it nice and easily avoiding all the terminology that confuses us all (!)
Hope that helps

 
Old 03-04-2007, 11:48 AM   #4
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shawley HB User
Re: MRI report - thoughts?

[COLOR="Indigo"]Hi Alice , you talking about a laminectomy or discetomy when your talking about surgery ?

Good Luck , I hate transforaminal and any injections [/COLOR][QUOTE=alice77;2835828]Hi,

Sounds similar to mine...all resulting in stenosis and some sciatic pains amongst other things. Hey, your spine's getting a bit old, even if you're not!

The stenosis (narrowing of the foramina/canal) could be the bulging disc or the facet joint, or both. In my case I'm on transforaminal injections. The surgery (cutting away some of the joint) is being held off to see if the injections work at getting the swollen nerve down (not mentioned in the reports) and letting the disc regress (although I've been waiting for it to regress for 18mths!). If not, then its certainly the joint that's causing all the problems.

Your surgeon should talk through your symptoms and then make his own interpretation of the scans, then come up with a diagnosis and treatment, so s/he should talk you all through it nice and easily avoiding all the terminology that confuses us all (!)
Hope that helps[/QUOTE]

 
Old 03-04-2007, 01:23 PM   #5
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Re: MRI report - thoughts?

Hi Shawley,

How's it going big man? Any luck finding a neurosurgeon in the end?

Anyhow, question in hand...I'm 90% certain its what they call a laminectomy.

Surgeon described it (using the scans) as cutting away that bit of bone to make the foramina wider....but...since then (in his referral to the hospital for the jabs that he wrote 2wks after the consulatation) he has apparently decided that its the disc that's the problem, so maybe it will end up being a discectomy...I haven't seen this letter but both my GP and the consultant at the hospital siad he'd written herniated disc and the consultant has been talking about the disc being the problem ever since. Wierd..neuro was so adamant that it wasn't the disc that was the problem (myself and boyfriend asked him twice..;are yous ure its not the disc? He replied..No. Its the joint!!!). Well, I look forward to seeing him again, maybe in a few weeks (he said to go back if the TF injections don't work...2nd one due week monday) to see if he really wrote that and what he now thinks.

Anyhow, I assume, if it happens, it'll be laminectomy but getting rid of the problem part of the disc too, if it is indeed part of the problem. Or maybe he'll just make a line from my neck down, unzip me all the way and decide what to do from then on...sometimes think that'll be a surefire way of knowing what's what!

Take care all
ALice

 
Old 03-05-2007, 04:06 AM   #6
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shawley HB User
Re: MRI report - thoughts?

[COLOR="DarkSlateBlue"][B]
Alice,
Hi, I had a laminectomy the same time I had my fusion , my wife said the doctor told her it that I was in surgery for 10 hours ! I don't know what they did for 10 hour's ? But it took alot of the pain away...Now I'm dealing with a different kind of pain.. No I haven't talk to a neuro yet ,I'm giving up on that and looking for a Ortho who will see me, honstly I doubt I'll find one.

Unzipping you all the way from your neck down would defenatly show all your spine .

I hope they find and fix your problem, the body some times needs to go to the body shop for repairs so we can keep on rollin , just like car's..and sometimes we just head to the junk yard and rust away [/B][/COLOR]

 
Old 03-05-2007, 07:10 PM   #7
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painful paul HB User
Re: MRI report - thoughts?

There is only one certain conclusion to draw from this report:

Every TYPE of doctor is going to interpret the films and report differently.

Chiros: 80% of people dont' need surgery
Orthos: We are bone/joint specialist- 80% of our cases are successful
Neuros: 80% of the spine disorders we repair successfully
ADR surgeons: We have an 80% success rate with our technique
IDD Docs: Non invasive treatment is not required with 80% of people with your symptoms

I would see different TYPES of doctors and don't tell them what the other one said. With me, they all seemed to be in the "80% club."

They are all correct at certain times. For example: most "facet joint changes" are a result of loss of disc height, causing the facet joints to rub together to harder than normal... this creates inflamation and arthritus (the body's natural response to injury.) An ortho surgeon can clean up the facet joint and make the pain go away. But the original problem was caused by disc collapse, not the facet joint itself. But if your pain is ONLY in the facet joint, the ortho surgeon, would have seemed to fix your back. But it will happen again because the disc is still causing the joint to rub together with too much pressure. The problem that caused the next problem that caused the pain was not fixed.

Personally, it seems like you are going to have some issues at 5-1, especially with the central bulge and foramina, if you do nothing. But I would get as much info from different types of doctors. If you see 5 nuero surgeons, they will all say the same thing. If you see 5 orthopeadics- they will tell you the same thing.

My interpretation is that the last disc in your back is running out of fluid, and squeezing into the spinal canal a little bit. This is making the space between the bones smaller, making the bones in back of you spine rub together.

I wish they had a pill that you could take that would keep discs healthy in the back. Some new "super nutrient" that was like miracle grow for discs.

Till then... good luck to all!!

 
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