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Old 04-02-2011, 07:12 AM   #1
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CT Scan results

Hello and Thanks

Minor diffuse annular disc bulging is seen at the L2-3, 3-4, and L4-5. Cross-sectional area of the spinal canal at the L2-3 level is 2.01 cm sq, L3-4 is 2.41, L4-5 is 2.24 cm sq. The L2-3,3-4,4-5 and the L5-S1 neuroforamina remains patent bilaterally.
There is a defect(?) seen in the superior endplate of L2, it extends into the L2 vertebral body and there is a wide band of sclerosis. This abnormality is not visualized in its entirely.
Opinion: At the superior L2 endplate, there is a defect(?) Which extends to the adjacent L2 vertebral body, within the L2 vertebral body, there is a wide band of sclerosis surronding a lucent defect(?). The most likely consideration would be intravertebral disc herniation with adjacent reactive bony sclerosis(?)
No significant abnoramality is seen at the L5-S1 level. There is no evidence to suggest there is lumber spinal or neuroforaminal stenosis at the levels examined.

Thanks again
Bunz

 
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Old 04-05-2011, 08:24 AM   #2
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Re: CT Scan results

Hi Bunz.....

Okay...so it looks like you have mild herniated disks through most of your lumbar region. Annular bulges mean it hasn't fully broken open and is still contained in the hard outer layer of the disk. Think of a jelly donut that is swished but the jelly has not leaked out. So they are bulging but not hitting anything like the nerves or cord. The spinal canal is much wider in the lumbar over the cervical and you have lots of room as noted in the measurements.

All of the openings for the spinal nerves to exit seem to be open with no compression(neuralforamina are patent...open)

No compression of the spinal cord(what is left of it).

But at L2, you have a problem that they are trying to figure out. The defect they talk about just means changes in the bone. The sclerosis they mention just means the edge of the bone has gone very hard...much harder than usual and is an indication that arthritis has gone from soft crumbly bone to extra hard bone....a more advanced stage. They speculate that the disk has herniated against the bone and caused it to first, soften(which makes it more translucent) and then hardened at the outside edge from the prolonged pressure.

So think of this a being like a bedsore. If something presses long enough on your skin, it breaks down and opens up into a big sore. And then with time, it scabs over and scabs are harder than the skin to hold up against the continued pressure. This thickening of the bone has made the spinal canal slightly smaller than the areas below it but still no effect on the cord.

Basically, the nerves and cord are okay but you have some arthritis that is advancing. And that causes pain. And not much can be done for it except having it fused.....and that may not help either. I now have bone spurs growing inside my fusion up against the cord. And they can't get to it without breaking open the entire fusion...and that will make more bone spurs....and on and on the vicious cycle goes. And that is arthritis in a nutshell....a vicious cycle.

What is it that you are feeling right now...pain, muscle spasms? Any feelings of heat(like the area feels hot from the inside)?

hugs...........Jenny

 
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Old 04-05-2011, 10:00 AM   #3
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Re: CT Scan results

Quote:
Originally Posted by jennybyc View Post
Hi Bunz.....

Okay...so it looks like you have mild herniated disks through most of your lumbar region. Annular bulges mean it hasn't fully broken open and is still contained in the hard outer layer of the disk. Think of a jelly donut that is swished but the jelly has not leaked out. So they are bulging but not hitting anything like the nerves or cord. The spinal canal is much wider in the lumbar over the cervical and you have lots of room as noted in the measurements.

All of the openings for the spinal nerves to exit seem to be open with no compression(neuralforamina are patent...open)

No compression of the spinal cord(what is left of it).

But at L2, you have a problem that they are trying to figure out. The defect they talk about just means changes in the bone. The sclerosis they mention just means the edge of the bone has gone very hard...much harder than usual and is an indication that arthritis has gone from soft crumbly bone to extra hard bone....a more advanced stage. They speculate that the disk has herniated against the bone and caused it to first, soften(which makes it more translucent) and then hardened at the outside edge from the prolonged pressure.

So think of this a being like a bedsore. If something presses long enough on your skin, it breaks down and opens up into a big sore. And then with time, it scabs over and scabs are harder than the skin to hold up against the continued pressure. This thickening of the bone has made the spinal canal slightly smaller than the areas below it but still no effect on the cord.

Basically, the nerves and cord are okay but you have some arthritis that is advancing. And that causes pain. And not much can be done for it except having it fused.....and that may not help either. I now have bone spurs growing inside my fusion up against the cord. And they can't get to it without breaking open the entire fusion...and that will make more bone spurs....and on and on the vicious cycle goes. And that is arthritis in a nutshell....a vicious cycle.

What is it that you are feeling right now...pain, muscle spasms? Any feelings of heat(like the area feels hot from the inside)?

hugs...........Jenny
Thank-you Jenny, I am experiencing back pain along with muscle spasms, butt pain(sciatia?) penetrating down the back of my legs (left being the worse) and yes you can actually feel the heat. My pain level is consistantly 7-8 out of 10. My Dr just changed my meds from oxycodone 5/325(no longer working) to hydromorphone 2mg, I still have to google this new med, I do not like strong pills, I like to be able to function daily and keep my pain level tolerable. Since my neck issues(further herniation C3/4 and bone spurs) only got worse over time I am assuming my back will continue to deteriorate as well. Do you think physio will help? Thanks again for your quick response Jenny, take care
Bunz

 
Old 04-05-2011, 07:15 PM   #4
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Re: CT Scan results

Hi....I responded to your other post on hydromorphone as it is what I use as well. Your 2mgs of hydromorphne is about the equivalent to 8mgs of oxycodone. I don't find it sedating....just the opposite...I have trouble getting to sleep with it.

About the heat...where do you feel it? Heat is not normal with OA and it makes me wonder if you have something else going on here. There are inflammatory disorders that affect the spine(especially the lumbar spine and SI joints) and muscle problems can cause deep inflammation that can cause lots of pain(Priformis syndrome comes to mind).

I started seeing a physiatrist today and am looking forward to seeing what she suggests to keep me moving with minimal pain. Might be a suggestion for you to look at getting an eval. by a physiatrist(rehab specialist) and the doing regular physio. It's what I am planning to do.

hugs...........Jenny

 
Old 04-09-2011, 11:24 AM   #5
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Re: CT Scan results

Quote:
Originally Posted by jennybyc View Post
Hi....I responded to your other post on hydromorphone as it is what I use as well. Your 2mgs of hydromorphne is about the equivalent to 8mgs of oxycodone. I don't find it sedating....just the opposite...I have trouble getting to sleep with it.

About the heat...where do you feel it? Heat is not normal with OA and it makes me wonder if you have something else going on here. There are inflammatory disorders that affect the spine(especially the lumbar spine and SI joints) and muscle problems can cause deep inflammation that can cause lots of pain(Priformis syndrome comes to mind).

I started seeing a physiatrist today and am looking forward to seeing what she suggests to keep me moving with minimal pain. Might be a suggestion for you to look at getting an eval. by a physiatrist(rehab specialist) and the doing regular physio. It's what I am planning to do.

hugs...........Jenny

Hi Jenny, thank-you for your responses.
The heat goes down my mid to lower back(actually my whole neck/back areas) and you can actually feel the heat with your hands(per my husband and massage therapist). I am on a waiting list for a pain management dr, and I go to regular weekly physio(x2) and massage therapy(x1) since June/09, I use a stational bike 15-20 mins daily and now I will try to go for a walk every day with the warmer weather here. The hydromorphone is definately working with little to no side effects. I wish you all the best with your new Doc and hopefully you get some relief.
Thanks Jenny!
Bunz

 
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