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Old 06-20-2011, 08:36 AM   #1
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Translate dictation help

So I had an mri done becausei have a history of a herniated disc and nerve pain down both legs. This is what it says and I need help knowing what it means.

At L4 L5 a moderate sized focal midline disc protrusion is identified effacing the anterior epidural fat and causing a mild impression upon the ventral aspect of the thecal sac. The central canal is not stenotic. The neual foramina are patent bilaterally. Facets are unremarkable.

Impression
Moderate size focal midline disc protrusion L4 L5
Small focal left paramidline disc protrusion at T10 T11

I don't see the surgeon until the 28th

The nerve pain down my legs is horrible. Happened beginning 2004. Pt has never worked. Injections work or a few months after 3 at most.

Pain management doctor said after failed attemps and with this I will need to get sugery.

 
Old 06-22-2011, 02:46 PM   #2
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Re: Translate dictation help

Hi, and welcome to the board. Your MRI is basically negative for any nerve impingement even tho your symptoms are that of pinched nerves. Have you seen an orthopedic spine specialist or a neurosurgeon (who has a fellowship in the treatment of spinal problems)? If you haven't, you need to do that as soon as possible. Be sure the dr. specializes in the spine and does no other kinds of surgery! That's very important. And do take your MRI results with you.

The doctor may see something that was not seen by the radiologist who read your films. If not, he may order either an MRI or a ct scan with contrast which will better show any nerve involvement.

If no nerve damage is taking place, try to make surgery your very last option. Once done, you can never go back, so you need to make sure that you try everything possible before going to the OR. On the other hand, if it is discovered that you do have nerves being compressed, then you don't want to wait too long as those nerves can become permanently damaged.

Best of luck to you. Please keep us posted on how you are doing.

Carol
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Old 06-22-2011, 03:22 PM   #3
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Re: Translate dictation help

[QUOTE=maltluver;4784034]Hi, and welcome to the board. Your MRI is basically negative for any nerve impingement even tho your symptoms are that of pinched nerves. Have you seen an orthopedic spine specialist or a neurosurgeon (who has a fellowship in the treatment of spinal problems)? If you haven't, you need to do that as soon as possible. Be sure the dr. specializes in the spine and does no other kinds of surgery! That's very important. And do take your MRI results with you.

The doctor may see something that was not seen by the radiologist who read your films. If not, he may order either an MRI or a ct scan with contrast which will better show any nerve involvement.

If no nerve damage is taking place, try to make surgery your very last option. Once done, you can never go back, so you need to make sure that you try everything possible before going to the OR. On the other hand, if it is discovered that you do have nerves being compressed, then you don't want to wait too long as those nerves can become permanently damaged.

Best of luck to you. Please keep us posted on how you are doing.

Carol[/QUOTE]

Thanks for responding.

The MRI I have had in the past did show compession that was causing the nerve pain. So I'm unsure how it shows none now yet still have the pain. I've tried everything from pt to injections. Nothing helps and its only gotten worse. A previous surgeon 4 yrs ago said he would do surgery after trying everything which I have many times. I want surgery. Get it done with. I know I am having siatic pain. Even pinches. Even tingling around my legs and toes. There is obvously compression. Ugh. Thanks for y9our help

 
Old 06-22-2011, 03:28 PM   #4
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Unhappy Re: Translate dictation help

I see the new surgeon the 28th. I know 100 percent I have nerves being pinched. I'm not making it up or imagining it. I'm sure if he doesn't see it then they will order it with contrast. I am not taking all the meds on time cause they make me sick and bc of that I'm feeling pain. Pt even let me go cause of the nerve pain wouldn't let me exercise.

 
Old 06-22-2011, 04:06 PM   #5
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Re: Translate dictation help

I wrote a fairly long message the other day and managed to lose it before posting...and then never got back to doing it again.

Is this the whole radiology report or just the parts you thought were important?

Have you had a flexion/extension x-ray?

I would just like to suggest that you need to be a little careful feeling like you "want" surgery if there is no clear-cut reason why you are having nerve pain. Surgery often seems like the answer to our prayers and a fairly quick resolution to our pain...but when there are not clear reasons for doing it, the results can be less than successful, and the patient can end up with bigger problems.

Please let us know what your new surgeon recommends.

 
Old 06-22-2011, 05:07 PM   #6
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Re: Translate dictation help

[QUOTE=tetonteri66;4784107]I wrote a fairly long message the other day and managed to lose it before posting...and then never got back to doing it again.

Is this the whole radiology report or just the parts you thought were important?

Have you had a flexion/extension x-ray?

I would just like to suggest that you need to be a little careful feeling like you "want" surgery if there is no clear-cut reason why you are having nerve pain. Surgery often seems like the answer to our prayers and a fairly quick resolution to our pain...but when there are not clear reasons for doing it, the results can be less than successful, and the patient can end up with bigger problems.

Please let us know what your new surgeon recommends.[/QUOTE]

Hey

It's the finding of my recent MRI. The previous MRI did indicate a central disc herniation between L4 and L5 which had shown why I felt nerve pain down my legs. They xplained numeros times that is why I get pain down both legs rather then 1. I say I want because I have been told this is the cause and to try alternative ways before surgery which I've down for years without success. I've lost 3 jobs over this and cannot carry my newborn enough. My legs give out at random times My sleep is uncomfortable. I'm ready for it. I cannot deal with it anymore. No pain pills work.

I will see what happens on the 28th and no I have not had those kinds of xrays. Only mris wo contrast

 
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