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Old 12-22-2011, 08:50 AM   #1
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back problems and MRI results

History: MRI
A 45 year old back pain history of fractures of transverse processes or the lumbar spine some pain and numbness in both legs
Technique: using a 1.5 Tesla MRI unit, sagittal T1 , T2 and Stir-weighted images of the lumbar spine were preformed in addition to axial T1 and T@-weighted images.
Findings: at the T12 –L1, L1-2 andL2-3 levels, the disks, vertebral bodies. Spinal canal neural formen and distal cord appear normal with the tip of the Conus Medullaris at the upper level.
At the L3-4 level, dehydration of the disk is seen without disk bulge and without spinal stenosis but with some possible mild encroachment on the inferior aspect of the neural formen, recommended correlation for L# nerve root systems.
At the L4-5 level, the disk, spinal canal and neural formen appear normal
At the L5-S1 level, dehydration of the dick is seen with a 3 –mm diffuse disk bulge without the spinal stenosis but with some possible minimal encroachment on the inferior aspect of the right neural foramen, recommended correlation for right L% nerve root symptoms.
Impression: No disk protrusions, spinal stenosis, but possible mild neural foramen encroachment at L3-4 and on the right at L5-S1 , see above
End

I have to figure out wht this means i had to retype it could not copy and paste it so sorry for spelling and errors

I have pain in legs and lower back just at the tail done most of time cant seem to get comfortable at any time unless leaning forward and cant lift my right foot without moveing leg wont point up when trying
was in an accident fell 4 ft landed on feet with 50 lbs bar in hand
and need to figure out what this stuff means have a appt with neuro surgen and physical therapy but still scared dnt hear much good from surgerories
thanks if you can help

 
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Old 12-22-2011, 10:43 AM   #2
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Re: back problems and MRI results

Welcome to the board. As you know, none of us have formal medical training, so take that into consideration when reading anything on boards such as this and others. I can give you an impression of the MRI report but you will want to talk with your doctor for accurate, medical information.

Basically the MRI looks pretty good. I wouldn't think you'd had a serious accident based on the information contained in this report. Of course a MRI or any imaging or test result is just one piece of the puzzle. Your doctor will use any information gained from a physical exam, your oral medical history in addition to this imaging to make a diagnosis.

Always look at the "Impression" as it is a summary of the findings. Your states that you do not have any discs that have protruded and no spinal stenosis. This is good news.

Stenosis is a word from the Greek that basically means a narrowing. Think of a lead pipe that eventually gets impacted with mineral deposits. In the spine, there are two categories of stenosis: one is of the central canal, where the spinal cord runs from the neck down to about the lumbar 1-2 level. Beyond that you can still have stenosis of the central canal; it's just that the spinal cord ends at L1-2 on most people...beyond that the nerves bundle together and are referred to as the cauda equina (horse's tail, because that's what it looks like).

The second location for stenosis is what you see on your report: neuroforaminal stenosis or sometimes called foraminal stenosis. The foramina are openings through which the spinal nerves exit the spine. This is another source of blockage that can result in the radiating pain we spineys often feel running down a leg, or causing a numb finger or toe, etc.

Again, think of that pipe. Due to the aging process, sometimes some degeneration occurs, causing a general thickening of ligaments, the growth of bone spurs, etc. These can clog up the foraminal openings and the central canal, taking away space that is needed by the nerves. When it takes up too much space, the nerve can become compressed or "pinched."

Sometimes this can be dealt with using conservative treatments like physical therapy, oral medications and steroid injections, but sometimes surgery is necessary to decompress the nerve and clean out the "gunk" that is filling up the opening. (sort of a roto-rooter process for the spine).

You have this foraminal stenosis at two levels and one or both could be causing your pain symptoms.

The report says [B]recommended correlation for right L5 nerve root symptoms.[/B] The doctor will perform a simple leg lift on you to see if he thinks you have a problem indicative of a L5 nerve root issue....he will correlate his findings to what the radiologist sees on the MRI.

Your problem with your right foot is symptomatic of a L5 nerve issue...and the fact that you get some relief from bending forward is a classic indication that you have some stenosis. At least from my perspective, your symptoms match up with what the MRI is indicating.

Hopefully when you see your doctor, he will be able to diagnose your pain generator and put together a plan of treatment for you. He will not tell you that surgery is in your immediate future...at least not based on what you have written here!!

Good luck. Feel free to post with any questions or concerns...and let us know what the doctor has to say.

 
Old 12-23-2011, 07:44 AM   #3
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Re: back problems and MRI results

Thanks i have to see the DR jan 5th so hope he dont talk of surgery i just dont have much faith in cutting me open and maby making things worse
oh and have a merry x mas

 
Old 12-23-2011, 10:58 AM   #4
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Re: back problems and MRI results

Are you going to a spine specialist or to your family doctor?

Hopefully you will be able to get some relief from some conservative treatment measures. But sometimes with stenosis, there just isn't enough room for the nerves unless the "gunk" is removed surgically.

Hope you are able to enjoy the holidays, despite your pain.

 
Old 12-29-2011, 07:06 AM   #5
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Re: back problems and MRI results

Holiday was good
i am seing a neuro surg on jan 5th to see what options are i did alot of internet research and found a good DR close so hope they can figure it out it seems to be getting worse
not being able to lift my foot or toes sometimes
not sure how to explain it kinda like dragging a weight around or walking up a unseen ramp till you almost fall lol
foot don't hurt just won't come up leg felt like it was on fire last night
my leg has been getting alot of cramps
the reg DR put me on CYCLOBENZAPRINE 10 but dont seem to be helping just getting frustraited will have to see DR and go from there thanks
jim

 
Old 12-29-2011, 07:39 AM   #6
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Re: back problems and MRI results

That foot problem is indicative of a nerve compression of the L5 nerve. It is sometimes referred to as drop foot. I'm happy you will be seeing a spine surgeon soon, as you don't want to let that type of nerve compression go on too long.

 
Old 01-13-2012, 05:29 AM   #7
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Re: back problems and MRI results

well seen the doc he wants me to try ph therapy for 4 to 6 weeks and try to get ride of pain
he says i have disc degeneration L3-4 and L5-S1 and muscularskelatal injury
so will start tues
if cant get ride of most of pain surgery is option but he said it is a major surgery and i am going to try
attorney is saying ssi disability but i want to work so just wondering how long PHT will work if i dont get it fixed now will they cover it if needed later hard decisions

 
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