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Old 02-12-2011, 12:11 AM   #1
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Back Pain with radiculopathy: Need help with MRI results

This is my first post. Seeing PMD for 3 months with low back pain and pain radiating through buttock into thigh. Occasional numbness on outer side of thigh. I take soma and vicodin for pain. 5 weeks chiropractic and 7 weeks physical therapy. pain increases with increased activity, sitting or walking for prolonged periods of time. Usually end up limping and have hip pain. I had an MRI finally and was referred to a pain management specialist. He took one look at my MRI and said I needed to see a neurosurgeon. When my PMD saw MRI results she wasnt too impressed and pretty much said i shouldnt be having as much pain as I do, but said that she would refer to a neurologist. Here is the MRI report. It appears pretty abnormal to me and actually seems like some scary stuff going on.

RESULT:
the T12 vertebral body displays diffusely abnormal T1 and T2 hyperintense bone marrow signal, but shows normal contour with no bony erosion or expansion. In addition a round mass in the L-1 vertebral body of up to 2.3cm anteroposteriorly extends from the superior to inferior vertebral body endplate
displays identical characteristics and is also non-expansile. furthermore there is suggestion of an additional smaller lesion in the T11 vertebral body, which is incompletely visible on this examination.
mild loss of intervertebral disk signal is present at L4/L5 and L5/S1 with mild loss of disk height, consistent with desiccation and mild degeneration.

at L4/L5: there is mild central disk bulging with slight effacement of the thecal sac, but no appreciable spinal cord stenosis or neural foraminal narrowing.

at L5/S1: Broad posterior disk bulging is present. no significant stenosis or narrowing. Of note, subtle T2 hyperintense lesion is also present in the right sacral ala of up to 1.5cm probably a vertebral body hemangioma.

IMPRESSION: abnormal bone marrow lesions in the T12 and L1 vertebral bodies, which nearly completely occupy those vertebral bodies and also smaller vertebral body hemangiomas at T11 and the right sacral ala. This allows for diagnosis of benign vertebral body hemangiomas.

I see neurosurgeon on March 22. What can i expect due to MRI findings?
My PMD said the pain mgmt doc probably didnt want to do injections because of hemangiomas and possible hemmorhage. Anybody that has similar situation please let me know what has been done for you.

Thanks!

 
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