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Old 03-20-2013, 11:19 PM   #1
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Lower BAck Pain & Neck & Upper Back Pain

Was wondering if someone could help me out with my two MRI's i've recently went for.. thank you so much. i'm trying to piece it all together but i'm not good at this..

Clinical History: Neck pain
Procedure: Noncontrast MRI of the Cervical Spine was performed utilizing a standard imaging protocol.
Findings: There is good alignment of the cervical lordosis. There is preservation of vertebral body height. There are no epidural lesions present. The cord demonstrates normal size and signal intensity. There is disc desiccation at all cervical disc space levels.
The C2-3 disc space level is unremarkable.
At the C3-4 disc space level there is a central protruding disc herniation which effaces the thecal sac.
At the C4-5 disc space level ventral spondylosis is present. There is broad bulge of the disc effacing the thecal sac.
At the C5-6 disc space level there is ventral spondylosis. There is a central and left paracentral disc herniation and dorsal bony ridge complex which effaces the thecal sac and narrows the left-sided neural foramina.
At the C6-7 disc space level there is loss of disc height. There is a central disc herniation which causes compression upon the cord and mild bilateral neural foraminal narrowing.
The C7-T1 disc space level is unremarkable.
Impression:
C6-7 central disc herniation causing compression upon the cord and bilateral neural foraminal narrowing.
C5-6 central and left paracentral disc herniation and dorsal bony ridge complex effaces the thecal sac and narrowing the left lateral recess.
C3-4 central protruding disc herniation effaces the thecal sac.
Next is Lower BAck MRI

Clinical History: Low back pain
Procedure: A noncontrast MRI of the Lumbar Spine was performed utilizing a standard imaging protocol.
Findings: There is straightening of the lumbar lordosis. Vertebral body height is preserved. The conus demonstrates an appropriate configuration and is located at the Li level.
At the L1-2 disc space level there is ventral spondylosis.
The L2-3 disc space level is unremarkable.
At the L3-4 disc space level there is ventral spondylosis. There is broad bulging of the
disc with a right foraminal disc herniation present which causes right foraminal stenosis.
At the L4-5 disc space level there is ventral spondylosis. There is broad bulge of the disc which effaces the thecal sac.
At the L5-S1 disc space level there is a broad disc bulge with a superimposed left foraminal extruded disc herniation causing compression upon the thecal sac with left lateral recess and left foraminal stenosis. Disc material causes compression upon the L5 nerve root within the neural foramina. Overall bulging the disc causes left foraminal narrowing.

Impression:
L5-S1 broad bulge of the disc with superimposed left foraminal disc herniation which causes compression upon the exiting left L5 nerve root. Overall bulging of the disc causes mild right foraminal narrowing.
L3-4 broad disc bulge with a right foraminal disc herniation causing right foraminal stenosis.

 
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Old 03-21-2013, 10:53 AM   #2
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Re: Lower BAck Pain & Neck & Upper Back Pain

Welcome to the board. I always like to remind people that members are not doctors...so keep that in mind when reading on the board. I will try to help you with a general understanding of your report...helping you understand the language so that when you return to your doctor, you will have a better chance of understanding what he/she is desribing to you, and you will be able to participate in treatment choices.

First let's just say that it would appear that both your lumbar and cervical spine are affected by degenerative disc disease. This is confusing as it isn't really a disease in the normal sense of the word, and it doesn't mean that things will necessarily continue to degenerate for the rest of your life. I think of DDD as a catch-all term that generally refers to "wear and tear" on the spine. It is almost always indicative of some spinal arthritis...I'm going to explain a couple terms that are mentioned in both MRIs first.

While the report goes through each vertebral segment, the "Impression" indicates the significant findings that the doctor will want to address. Your report does not really indicate the degree to which something is happening -- in other words "how bad it is." Usually reports include specific adjectives that serve as a ranking system: minimal, mild, moderate and severe. Yours doesn't indicate extent of the issues, so your doctor will have to look at the MRIs and make these determinations.

I hope you are seeing a spine specialist. This will be either an orthopedic spine surgeon or a neurosurgeon whose practice is limited to the neck and back (not a guy who replaces joints or sets bones, and not a brain surgeon).

Please look for another thread started by kriszaidi30 entitled Please HELP!! me understand my MRI!!! I spent quite a bit of time explaining stenosis and it would be helpful for you to read through it, as it applies to your MRI as well.

[B]Impression:
C6-7 central disc herniation causing compression upon the cord and bilateral neural foraminal narrowing.
C5-6 central and left paracentral disc herniation and dorsal bony ridge complex effaces the thecal sac and narrowing the left lateral recess.
C3-4 central protruding disc herniation effaces the thecal sac.
Next is Lower BAck MRI[/B]

Basically there are two places where the nerves can become compressed. One is the central canal, and the other is the foramen. The neural foramina is an opening at the edge of the vertebra that allows the nerves to exit the central canal and go out to the limbs and other areas of the body.

These "openings" can become filled with "gunk." When this happens, there isn't enough room for the spinal nerves to function normally, so the nerve can become irritated or compressed...which can result in the nerve pain we feel in the back, or anywhere along the path of that nerve...like tingling hands or feet, etc.

At the C6-C7 level the cause for the stenosis is a bulging disc. It is pushing out of the disc space to the point that it is impacting the spinal cord space and the foraminal openings on both sides.

At C5-C6 the disc is bulging out to the left and in the central area. This is causing foraminal narrowing on the left side and the central canal is also being impacted. There is some extra bone growing, in an attempt to keep this segment stable, and it is pushing into the thecal sac as well.

And again at C3-C4 the disc is protruding in the central region and it is pushing into the thecal sac. (The thecal sac is tube-shaped ligaments that contain the spinal cord.)

So, basically there are disc bulges at multi-levels that are pushing into either the neural foramen or central canal/thecal sac or both.

 
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Old 03-21-2013, 11:03 AM   #3
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Re: Lower BAck Pain & Neck & Upper Back Pain

[B]Impression:
L5-S1 broad bulge of the disc with superimposed left foraminal disc herniation which causes compression upon the exiting left L5 nerve root. Overall bulging of the disc causes mild right foraminal narrowing.
L3-4 broad disc bulge with a right foraminal disc herniation causing right foraminal stenosis.[/B]

Basically, more of the same. At L5-S1 the disc has herniated on the left side and is pushing into the left foramina, which is causing compression of the L5 nerve root. In addition, the disc has a broad bulge that is pushing out of the disc space into the right foramina, causing some stenosis/narrowing. The L5 nerve runs down the back of the leg and into the three middle toes of the foot. It is traditionally thought of as one of the nerves that typically causes "sciatic" pain when it is irritated or compressed. (Sometimes the fetus pushes against this nerve when a woman is pregnant, and it results in sciatic pain during pregnancy.)

Keep in mind that due to this nerve compression, a person can feel all the pain away from the back. I've had three lumbar surgeries, including two fusions, and never had "back" pain. It was all in my legs -- I had severe stenosis that scrunched the nerves at L3, L4 , L5 and S1.

Finally, L3-L4 has a broad based bulging disc that is pushing into the foramina on the right side....

As I mentioned earlier, without any mention of how severe the stenosis is, it is impossible to guess if your issues can be resolved with conservative treatments such as a course of physical therapy, oral medications to reduce pain and inflammation, perhaps a series of epidural steroid injections, etc. or whether you might be a candidate for a surgical procedure.

 
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Old 03-21-2013, 02:45 PM   #4
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Re: Lower BAck Pain & Neck & Upper Back Pain

I want to thank you. I understand you & anyone here are not dr's, just to give me this in english, i'd say was a big help. Now i know what i'm talking about when we discuss things. i'm starting with a friend & a Chiropractor. I've been going to Pain Management for a few wks & starting Nerve Blocking Injecitons tomorrow so i'm just trying to get a grip on things.. Thanks for you help & helping me to read this thing.. Have a great day..

 
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Old 03-21-2013, 02:50 PM   #5
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Re: Lower BAck Pain & Neck & Upper Back Pain

[QUOTE=teteri66;5150333][B]Impression:
L5-S1 broad bulge of the disc with superimposed left foraminal disc herniation which causes compression upon the exiting left L5 nerve root. Overall bulging of the disc causes mild right foraminal narrowing.
L3-4 broad disc bulge with a right foraminal disc herniation causing right foraminal stenosis.[/B]

Basically, more of the same. At L5-S1 the disc has herniated on the left side and is pushing into the left foramina, which is causing compression of the L5 nerve root. In addition, the disc has a broad bulge that is pushing out of the disc space into the right foramina, causing some stenosis/narrowing. The L5 nerve runs down the back of the leg and into the three middle toes of the foot. It is traditionally thought of as one of the nerves that typically causes "sciatic" pain when it is irritated or compressed. (Sometimes the fetus pushes against this nerve when a woman is pregnant, and it results in sciatic pain during pregnancy.)

Keep in mind that due to this nerve compression, a person can feel all the pain away from the back. I've had three lumbar surgeries, including two fusions, and never had "back" pain. It was all in my legs -- I had severe stenosis that scrunched the nerves at L3, L4 , L5 and S1.

Finally, L3-L4 has a broad based bulging disc that is pushing into the foramina on the right side....

As I mentioned earlier, without any mention of how severe the stenosis is, it is impossible to guess if your issues can be resolved with conservative treatments such as a course of physical therapy, oral medications to reduce pain and inflammation, perhaps a series of epidural steroid injections, etc. or whether you might be a candidate for a surgical procedure.[/QUOTE]
I want to thank you very much. I do understand that no one on here are dr's. It's just a big help when some one can put these Readings into english, just sayin'... I use to work in a Orthopedists Office many many moons ago.. and could never get the whole thing with a reading from a CT Scan or MRI.. i really appreciate it. I am going to Pain Management & getting shots, my first Nerve Block will be tomorrow. I also have a Chiropractor that i am bringing these tests to & also my EMG tests that i have done so she can also explain them to me.. Thanks again & have a good nite.

Last edited by MrsMcB1019; 03-21-2013 at 02:52 PM.

 
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