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Old 03-11-2010, 04:02 PM   #1
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Bhargav HB User
Unhappy herniated disc - MRI included

Hello all

I have had disc herniation in my lumbar and suffering pain in lower back and left leg for more than a year now.

I have tried physical therapy initially which helped to certain level but then it got worse. Then I took complete rest for about 3 weeks and now Im going to a chiropractor where Im undergoing decompression therapy which helped too initially but then the progress is more or less stagnant.

1. HOw mush have I recovered between the 2 MRIs?
2. WHat should I do now?

see comparison below b.w the 2 MRIs:
L5-S1:
Quote:
MRI 1
Diffuse disc bulge osteophyte complex is present with a central minimally right paracentral disc protrusion containing annular tear. This measures about 2mm. There is a mild facet arthropathy present. There is a mild bilateral neuroforaminal stenosis without evidence of nerve root impingement and minimal spinal canal stenosis. Disc protrusion is in proximity to the roght S1 nerve root but there is no evidence of contact.

MRI 2
There is a central disc protrusion containing annular tear, which mildly marrows the anterior canal. This also approximates descending S1 nerve roots with some contact suggested bilaterally. No frank impingement is seen, however. Narrowing of the neural foramen is primarily on a congenital basis with mild acquired stenosis seen. Facet antropathy is present.
My understanding:
Disc bulgewith Annular tear: looks better
Osteophyte: healed.
Stenosis:

L4-L5
Quote:
MRI 1
Minimal disc osteophyte is present. There is a left lateral recess disc protrusion. Disc protrusion measures 4mm in left lateral recess and causes mass

effect upon the L5 nerve root. There is mild right and mild left neuroforaminal stenosis. There is moderate spinal canal stenosis.

MRI 2
There is a diffuse annular bulge with superimposed central/slight left paracentral disc osteophyte complex. This narrows the anterior and left aspect of the

central canal, left lateral recess region, effacing the thecal sac and contacting and posteriorly displacing descending left-sided nerve roots. Facet

arthropathy contributes to mild bilateral foraminal stenosis
Disc osteophyte: worse.
Disc: better
canal stenosis: better.
foraminal stenosis: same.


L3-L4 had milt facet arhtopathy and ligamentum flavum hypertrophy.
L3-L4 has no problems

Last edited by Bhargav; 03-12-2010 at 08:16 PM. Reason: please do not post pictures - as per the posting policy

 
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