Re: they say nothings wrong but mri says... which is it
You need to get page 2 of your report. It seems that the "impression or findings" of the MRI is missing. That normally follows after what you posted.
Actually your MRI looks pretty good on the whole. Your discs are in good shape, for the exception of L4/L5 is starting to age and dry out. Your main issues from that is facet arthritis basically in most of your lumbar spine and the foraminal tear and whatever protusion you have there.
I don't know if a tear in the foramina can heal on it's own or not. And if it were me, I would want to know what that "protrusion" there is. I would assume that the body can heal that, but if not, I would think that would require a surgical correction. Having that tear there, leaves the nerves there very irritated and more vulnerable there. I think this needs to be more thoroughly discussed with a spine surgeon on if this can heal on it's own and what options may be available to you to repair it.
Have you ever had any injections done at and around your facets to see if they bring you relief?
What medications are you currrently on?
Regarding the L4/L5 disc. This disc takes more impact and movement than any other disc in the lumbar spine. When a disc is termed as "dessication", as it dries out and hardens over time, it can often emit a chemical which can often irritate the nerve root it is closest to. The fact you have the foraminal tear at this level is more likely exaggerating this two-fold.
Pain is relative to the person experiencing it. What hurts one, may not hurt another at all. This does not make you a wimp, but someone that simply hurts. You do have cause for your pain. A disc that is aging can be very painful for some people. This can also be called discogenic pain, which means pain is eminating from within the disc itself. A disc does not have to be herniated or bulging for this to occur either. The facet arthrosis can be very painful. The tear you have..this is at the core of where you nerves are.
Hope some of this helps. I would do what you must in regard to work, but I would get another opinion from a spine surgeon.
"believe in the beauty of your dreams"- E. Roosevelt
L5/S1 bulging @ 18, now 46; still there (but no pain)
Fusion at L4/L5 Apr -2006
Solidly Fused Nov-2006
A Success, but still improving!