Lumbar MRI Results explanation - My doc says there shouldn't be any pain
First off, sorry for the long post, but, I would really like to know if I'm crazy or if my doc's crazy. I'm wondering if someone can give me some insight on this MRI Report. My doc told me that there isn't really anything that should be causing me the pain that I'm constantly in. So, first, a bit of background: I was retired from my job in 1994 do to the fact that I was diagnosed with Ankylosing Spondolosis and it was getting to the point that I couldn't stand or sit for extended periods of time. I had(have) constant pain throughout my spine that radiates down my legs and is effecting my limb's ability to function (I walk with a very pronounced limp). Several specialists that I have seen said that I shouldn't have surgery because, as they put it, "...they would have to put a zipper in". Fast forward to the present and recently I was told by one doctor, that my main doctor sent me to, that I have lumbar stenosis. However, something that I find odd, is that no one even mentions the AS anymore. All I ever hear is that I have bad arthritis throughout my spine and I shouldn't be in a lot of pain! Now, on to the MRI Report. This was done about 2 weeks ago the findings are below:
Normal conus medullaris that terminates at T12-L1. There is variable disc desiccation between the levels of T10-11 L5-S1
T10-11, T11-12, T12-L1 (sagital images): There is normal disc morphology without central spinal canal or neural foraminal narrowing
L1-2: There is a circumferential disc bulge that posteriorly impinges approximately 2mm upon the central spinal canal where it is superimposed upon minor bilateral facet arthrosis and ligamentum flavum redundancy. The approximate residual AP diameter of the thecal sac is 13mm consistant with minor thecal sac narrowing. The bilateral neural foramina are normal patent.
L2-3, L3-4: There is normal disc morphology without central spinal canal or neural foraminal narrowing. There is minor facet arthrosis
L4-5: There is a circumferential disc buldge that posteriorly impinges approximately 2-3mm upon the central spinal canal where it is superimposed upon bilateral facet arthrosis and prominent ligamentum flavum redundancy. The approximate residual AP diameter of the thecal sac is 13mm consistant with minor thecal sac narrowing. There is moderate bilateral neural foraminal narrowing without nerve root impingement. There are degenerative-reactive marrow changes of inferior L4.
L5-S1 There is normal disc morphology without central spinal canal or neural foraminal narrowing. There is minor facet arthrosis
Normal lordosis without spondylolisthesis or spondylolysis
There is no significant scoliosis
There are no infiltrative or desctrutive processes of the vertabrae
There is no paraspinous soft tissue abnormalities
There is no disc protrusion
L1-2 and L4-L5 disc buldges[/SIZE][/FONT]