| | Understanding Spine MRI Results
I've been reading these boards with a lot of fascination and find them helpful and some of the threads have been helpful in addressing the issue I'm about to bring forth, to which I know there are many. Given all the Spinal MRI results I've seen here, my radiologist wasn't particularly forthcoming, so hopefully someone can assist in deciphering this as to whether or not it's a big deal. It is to me because I've been having some symptoms that have increased over the last year a half.
Ok, so I'll just write out the results that pertain to abnormalities in the cervical spine, there is no point in writing it all out and boring everyone unnecessarily.
C4-5: there is a mild central disc osteophyte complex which minimally effaces the ventral thecal sac but causes no significant canal stenosis or cord flattening. There is no foraminal narrowing
C5-6: There is a central disc osteophyte complex which effaces the ventral sac and flattens the cord with moderate canal stenosis . Uncovertebral hypertrophy results in mild right foraminal narrowing. The left foramen is patent.
C6-7: There is a central/paracentral broad-based disc protrustion which effaces the ventral thecal sac and results in moderately severe canal stenosis. Uncovertebral hypertrophy causes mild to moderate right foraminal narrowing. The left foramen is patent.
Impression: At C6-C7 there is a central/right paracentral broad-based disc protrusion which results in moderately severe canal stenosis. There is also moderate right foraminal narrowing.
At C5-6 a central disc osteophyte complex results in moderate canal stenosis. There is mild right foraminal narrowing.
Okay, so with this, I have had the WILDEST symptoms over the last year and a half. The first was left facial numbness. It would come and go and was NOT related to cardiac or vessel events. I have had tingling and numbness in my left hand, right hand, down the left forearm with lightning like shooting pain. There has also been heaviness in the left arm. Pain between the shoulder blades. I have headaches that are severe and extend from the back of my skull to the top of my head. I have had visual disturbances in my RIGHT eye, to where there will be blurryness that lasts hours or days. I feel "off balance" as if I'm going around the world to the left. I have a heaviness feeling of my entire head, as if it's weighted. I have HORRIFIC chronic and acute pain of my lower back, through the buttocks and down BOTH legs to the back of the feet (heels). I also have constant aching in my hips, worse on the right with lightning like shooting pains. My legs also have a falling asleep type feeling and this has happened while DRIVING. I have also fallen straight out of bed thinking my feet would touch the floor, only to find they were dead asleep. This pain in the lower extremities never goes away, only on and off in intensity. My last doctor's visit, she tested the reflexes on my knees, I didn't HAVE any. I also have constant snap crackle popping noises at the back of my head that drives me crazy! I cannot turn my head completely to the right, but a little more on the left.
Okay, so now, lower lumbar MRI results
L3-L4 There is minimal circumferential disc bulging and mild facet degenerative changes. No significant canal or foraminal narrowing
L4-L5: There is mild circumferential disc bulging and mild facet degenerative changes without significant canal or foraminal narrowing appreciated.
L5-S1-There is a small central disc protrustion with an associated annular tear. This results in no significant canal stenosis., foraminal narrowing or definitive nerve root impingement There is mild facet degenerative change bilaterally.
Impression: At L5-S1: there is a small central disc protrusion with an associated annular tear. This causes no significant canal stenosis, foraminal narrowing or nerve root impingment
Mild degenerative chnages with the lower lumbar spine as described.
Okay...so WHY do I have all of this crazy stuff and unbearable pain in my lower extremities? could this be because of the cervical issues?
Also, what is "cord flattening" and what does this mean as it pertains to the MRI reading or spinal issue?
Is this MRI a serious reading or no big deal?
Thank you so much for reading!