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Old 01-16-2012, 10:58 AM   #1
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Please help me read my MRI : L4-L5 issue

Hi all , hoping i can get answers on my MRI of my lower back .

Main concern is MRI report indicating as follows :

At L4-L5 there is mild disc desiccation with mild disc bulge most notably in the extraforaminal regions. There is an additional annular fissure at the 4 o'clock position. Mild right and moderate left neural foraminal narrowing are present , with suspected impingement of the exiting left L4 nerve root. Mild left facet arthrosis is present .

IMPRESSION :

1. MODERATE LEFT NEURAL FORAMINAL NARROWING AT L4-L5 ON THE BASIS OF SHORT PEDICLES , MILD FACET HYPERTROPHY AND DISC BULGE. THERE IS SUSPECTED IMPINGEMENT OF THE EXITING LEFT L4 NERVE ROOT.

2. LOBULATED 1.0 X 0.7 CM FLUID SIGNAL STRUCTURES JUST POSTERLATERAL TO THE EXITING L5 NERVE ROOT WITHIN THE EXTRAFORMINAL REGION. THIS PROBABLY REPRESENTS A SYNOVIAL CYST OR NERVE ROOT SLEEVE CYST , WITH A TINY BENIGN PERIPHERAL NERVE SHEATH TUMOR CONSIDERED POSSIBLE BUT LESS LIKELY .


Basically what i am trying to find out is do i have a bulging disc that is causing me pain in lower back and recently caused some tingling , numbness in my leg as well .


Thanks in advance for any help and info you can provide

 
Old 01-20-2012, 03:09 PM   #2
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Re: Please help me read my MRI : L4-L5 issue

Hi...I'm Jenny and one of the people who tries to explain MRI's in plain words. You should know that most of the people with back problems post on the Back Problems board and not here, so that is why I'm delayed in helping you.

In spines, the chief pain makes are 2 things.....pressure on the nerves that peel off the spinal cord and go out to the body and arthritis of the tiny joints that are on the sides and back of the vertebrae that stabilize the spine with twisting and turning motions.

You have moderate nerve compression of the left L4 nerve due to a disk that is bulging as well as arthritic bone spurs from the arthritis of the facet joints. There is mild compression on the right side. Radiologists rate the amount of compression by the words, minimal, mild, moderate and severe so you can see, you are well on your way to having some major trouble. The L4 nerve serves the inside of the calf below the knee to the foot.

They also see a synovial cyst on the L5 nerve and those form and go away and form again but aren't something that needs removing. If it develops further and seems to be a tumor or sleeve cyst, then it might cause more problems. I've got them too and they come and go and don't really do much.

Most spine surgeons won't operate until you reach severe levels of nerve compression but that depends on the symptoms you have and the results of an EMG/NCS tests. This tests how bad the nerve compression really is. I am "moderate" at S1 and L5 in my own back but my EMG(electromyelography) and NCS(nerve conduction studies) show it is worse than the MRI shows....as do my symptoms. So my doc will most likely operate even though I am not "severe". I can no longer feel the gas pedal of my car...bottoms of feet are numb.

Have you seen a spine doc yet?

Jenny

 
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Old 01-20-2012, 04:18 PM   #3
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isleseeya HB User
Re: Please help me read my MRI : L4-L5 issue

Thanks so much Jenny ..I really appreciate your reply and help .The ortho who's specializes in spine that I am seeing seems to think the problem is not too serious and I actually think he is down playing it .I am not happy with him so I am going to a new dr and specialist for a 2nd opinion on Feb 7th . In meantime I am beginning therapy 3 x a week starting this monday . The physical therapy place is excellent as I used them in past for therapy to recover from a torn achilles in 2008 . When I sat with them today , I showed them a copy of MRi and script I got for therapy and they immediately acknowledged the problem with my disk and nerve impingement . I am set up for therapy 3 days next week and am optimistic it will help

Did you do any therapy for your back issues and did you find it helpful ? Thankjs in advance again

 
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