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  • Would some one please explain my MRI results in a book for dummies format

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    Old 08-04-2013, 10:42 AM   #1
    Lynn92536
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    Would some one please explain my MRI results in a book for dummies format

    Findings
    Vertebral Bodies Normal alignment Degenerative marrow signal changes are present at L5 & S1 status post fusion with bilateral pedicle screws at L4-S1 interbody graphs are present at L4/5 L5/S1

    Spinal canal and contents:
    Spinal cord terminates normally. The nerve root of cauda equina are unremarkable Specifically there is no evidence of nerve root clumping or thickening to suggest arachnoiditis

    Para spinal soft tissue post operative changes

    (L2/3 moderate loss disc signal & height w/mild annular disc bulge &moderate /marked bilateral facets joints hypertrophy causing moderate neural foraminal encroachment

    L3/4 moderate loss disc signal & height w/mild annular disc bulge and moderate/marked bilateral facets joints hypertrophy with ligamentum flavum redundancy this results in moderate central canal encroachment and moderate bilateral neural foraminal encroachment

    Reason asking you guys to explain what these results mean to fully explain would require way to much space and time so in brief had an idiot for a dr and I have good reason for comment made but anyways get authorization to make appt w/ spine dr who did my lumbar fusion surgery in 2009 try to make it told m appt was pending on MRI results which at time wasn't any receiver letter to get MRI call between dr office to see if they've sent the results to spine pl being told they'd look into it and call me back and never did and call spine pl to see if they had gotten them which was a no and without it appt still pending this went on from middle of May to first of July finally found out that I could call imaging place and have them forward the results to spine they finally get them call me a few days later and inform me that my referral for an appointment had been denied back in April because of no MRI results (and no one in the 3 months I was calling them weekly did they ever mention this only that it was pending upon the results.) That I would have to go back and have my dr re-do another referral letter and include any clinical notes she made only problem back in June I contacted my health insurance provider and told them was not happy w/dr and have switched to another dr ( I'm on SSI and have IEHP for my medical insurance so to wrap this up I am having to restart the whole process again and my appt with new dr isn't till mid Sept which means getting appt with a spine pl which I have also requested they find me a different one is even a longer way off

     
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    Old 08-04-2013, 01:40 PM   #2
    gmak
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    Re: Would some one please explain my MRI results in a book for dummies format

    Welcome to healthboards, lynn! Im so sorry for all the mix up. Do you have an MRI disk & paper report that you can take with you to any dr, & its recent right? The facets are part of your vertebrae & due to inflammation, arthritis, they are enlarged causing the nerve root that goes down to lower extremeties to have compression where they exit spinal column, moderate pressure on both sides at two lumbar levels. Also, the radiologists suggest a structural ligament problem that is causing the central spinal nerves to have moderate compression as well at L3-4, were the other vertebrae mentioned on the report, L5-S1? Different spine surgeons interpret the films differently as far as operating because its a decision the NS or ortho dr makes after doing a complete neurological exam & hearing your history, symptoms, etc. Spine specialists are the drs that have the most education & experience in diagnosing disorders of the spine & i hope that you can get a referral as soon as possible, & i hope that you are not in a lot of pain. Is there anyway that your PCP could see you earlier &/or treat the symptoms while waiting for spine specialist referral?

     
    Old 08-04-2013, 05:54 PM   #3
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    Yes I have both disk and report and they are as recent as of May 5 of this year. Unfortunately mid Sept was closeset appointment I could get but the receptionist said she'd a note on top of the appointment book to remind her if by chance someone canceled I'd be the first she'd contact to offer that time slot.
    And one thing in my favor i didnt mention in the post because i wasnt sure how much character spacing allowed per post
    when i explained to the receptionist what i had just been and why i was needing to make the appointment and that I had an MRI done in may and had Both a Copy of the disk and report that I could bring to my appointment and she asked if by chance I could bring just the report part of it ASAP that she couldn't make any promises but if it was there then the drs schedule allowed it could review and start the referral process. I dropped off the next day but after what I just went thru they last couple of months I'm afraid to get my hopes up after all she is another one these county funded doctors to which I have really learned to distrust and dislike the majority of them because it seems the only they are interested in doing is getting. People hooked on medication mainly pain medication it's like oh your hurting her lets prescribe you these pain pills. And see how it does for a couple weeks then well decide upon you next visit what direction we'll need to proceed in and that direction usually winds up being basically the same only difference they've now on top of what they already gave you they have added one to two more types of meds to go along with the one you have. I'm going to stop right there cause as you can see its a very sore subject with me.


    I would like to thank you for replying to my post and sorry for getting a little postal at the end of it

     
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    gmak (08-05-2013)
    Old 08-04-2013, 06:27 PM   #4
    gmak
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    Re: Would some one please explain my MRI results in a book for dummies format

    We all have these times of needing to talk to someone who understands & i do after 4 lumbar surgs & now chronic pain from arachnoiditis. I understand the fear of starting narcotics because i can have no more surgs, injections & i am taking a long acting timed released narcotic, lyrica & muscle relaxers & i can remember. I had to take them because the pain was too very severe. Have you seen a pain mgmt dr or is this the PCP prescribing medicine that you dont want? Moderate compression is treated differently depending on the drs decision about treatments like epidural steriod injections, PT, Tens unit, medication or back surgery & when a spine specialist ordered something that didnt feel right for me i saw another, in fact i saw 3. I hope you get the earlier appt & you can discuss with the dr what you feel & want to do. Today i have been reading" What to do when you are waiting on a good pain dr" by dr forrest tennant & i think it has alot a good information.

    Last edited by gmak; 08-04-2013 at 07:12 PM.

     
    Old 08-04-2013, 10:12 PM   #5
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    It's was the PCP that prescribing them my soul purpose for even making an appointment with her was because I need for her to give a referral so that I could get an appointment with the spine place to find out why the pains in my back have got 10x worse and I the worst of the pain are in the area of my surgery.

    So she then asks me turn around lift up the back of shirt walks out of room comes 20 minuets later hands me a paper to go have x-rays done along with 3 prescriptions for a pain med a muscle relaxer and a inflammatory
    now mind never once did she even touch me there area to see if I was tender or how I would react or do anything ( I could of been lying to her telling her all this bs to get her to prescribe me meds
    Now let explain why I refer to her as an idiot I go that same day to the imaging place to set appt for x-rays luck had it they were able to do it right then next morning I call to make appt with PCP for three weeks later to review the x-rays now when you make an appointment at a clinic run by the county you can only make the appointment for one issue if you have cold but your also having pains some not related your cold you can either deal with the cold or the pain but can not be treated for both in one appointment at least it was that way at the clinic I went to so when I made the appointment I had to state it was to review result ( so skip skip ahead) so appt I am sitting in exam room she come walking opens my chart is reading it over and turn and looks at me and say and what is the purpose of your visit I told her I'm here to go over the results of X-rays she proceeded to look at me with a dumbfounded look on her face and asked what X-rays I commented the one you sent me to go have
    Oh and when did you have done Same day you handed me paper and said you need to go and set an appoint to have them done
    hum well we don't have them here My reponse well why aren't they here what nobody when I called and stated the reason for appt was to review X-ray results that it never clicked to you or anyone to in this the word X-ray and we better either find it if its here or make a call to the imagining place to see if its there and make sure it's here and ready to review
    So now I have to make another appt which of course wasn't for another two weeks later to get these results now you don't think this story could get any more I'll just say bizarre appt time rolls around again yes X-rays finally made an appearance
    I ask did they show anything which I knew they wouldn't cause when I went to emergency room to see if I could get the referral thru them a they wouldn't do an X-ray said all it would show that I had surgery wouldn't show what was wrong
    So PCP says hum they show you've had surgery I said lady When i lifted my shirt you could see I had surgery
    And now for here is the shake your head in disbelief as your jaw drops to the floor because you can believe what just came out of came out the PCP mouth
    She looks at me and says are you in pain would you like me to put in a referral for you to go see the spine specialist
    And the rest of you already know from my original post

     
    Old 08-05-2013, 04:35 AM   #6
    gmak
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    Re: Would some one please explain my MRI results in a book for dummies format

    Oh my goodness! Finally! But the spine specialist appt is made & in september, yes? And the whole time all of this going on, all you wanted was an appointment to see you spine surgeon because the pain increased ten fold? Good grief, no wonder the frustration with all the red tape. I hope that you are on your way to the spine specialist with no more bureaucratic nonsense in september!

     
    Old 08-05-2013, 06:07 AM   #7
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    This is an oops post was suppose to of been the post that follow this one but when I said post reply it said I had to wait 60 seconds between post which I didn't understand because I hadn't sent anything 60 before that and while i was waiting the 60 seconds thought of something I wanted to to add
    And I'm only telling this cause they said I had to say something

    Last edited by Lynn92536; 08-05-2013 at 06:41 AM. Reason: Because its there a duplicate post below it

     
    Old 08-05-2013, 06:28 AM   #8
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    No in Sept I get to go and see my new PCP and start this procedure over again the only thing in my favor right now is I already have MRI and cross my fingers after my appointment it won't be long before I will finally get my appt with a spine specialist

    No the referral I got from the IDIOT is the one that I spent from March till just 3 weeks ago trying to get that was pending the MRI results that my PCP was not sending. That I finally called my IEHP provider which is my health care like Medicaid for SSI in the area I live in and she informed me that I could have the images sent over from the imaging place so I did to only have the spine place once they got them tell me that my referral had been denied back in April because of no MRI results now mind you from may once I had the MRI calling the spine place to see i could finally get appointment never once did they say I had been denied only that my appointment was pending these results

    Enough of my woes wow 4 surgeries for you I am never happy to know some one is pain but it is so nice to finally talk to someone that truly understands the exact pain that I am going thru most people oh it'll go away you just need to move around more or my moms favorite line well if its any consolation I have this pain across my shoulder from whatever she was doing to aggervate that muscle as if knowing she was pain made my pain just magically disappear i have to remind her my only consolation in knowing your in pain is in knowing yours in a couple days will go away mine wont they don't understand that the pain isn't in the muscle it's in the bone
    And this thing your reading I would really love to get ahold of a copy of it
    Hey when your back first started giving fits and you need surgery do you remember how it happened because to this day I don't I just woke up one morning and my back was killing me in fact I passed it off dang near a year as pulled muscle and couldn't understand it would go away I had asked my mom one day if she'd rub some Deep Heat on it and something next to my spine area started moving

     
    Old 08-05-2013, 07:31 AM   #9
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    Re: Would some one please explain my MRI results in a book for dummies format

    Lynn, Lol, Lol, Lol ! You made me laugh with the "if its any consolation... & mom muscle comment because my parents would say similar things, & my mom still does! But, yes, i got hurt when a man fell on me, 30 years ago & then the surgs & now the pain , arachnoiditis. I do understand pain that doesnt leave but i hope when you get to the spine dr yours can be treated & i was reading that on the computer & there is also "The intractable pain handbook" & both are found by the names ive posted.

    Last edited by gmak; 08-05-2013 at 07:35 AM.

     
    Old 08-05-2013, 06:03 PM   #10
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    That is something to lol x3 about my mom still does it to in fact I got her good this morning when we went to market I made the comment about my pain and right on cue my mom starts in on her well dear if its any consolation I'm hurting too all along my shoulders and I've got a kink where I slept wrong on my neck
    So I turned and said loud enough for the people in the aisle to
    Wow you know its like a miracle just all of sudden my pain is almost non existant who would of thought that knowing your in pain could bring me such comfort and relief and all these years you've been telling me if its any consolation I finally decided to listen to you and once again Mom thanks I guess Mom's do know
    Had a lady who only got in on a portion of as I was walking by her said the disrespect some kids have for their mothers is appalling I turned and said I know but what can you do when your mother is trying to bring you comfort by telling you she hurting too I mean I can't just let her think I not great full now can I and caught up with my mom

    Ok now I have to know if your willing to share oh did a man fall on you

    I hope the spine guy can at ease my pain but pretty I am in pain daily ever since I did whatever I did to my I only mention the pain I'm in now because its the worse that its ever been I on the average have a real super high tolerance to pain and is why I'm able to pretty much tolerate it with having to take a lot pain pills but the pain has now gotten to the point that its literally kicking my arse
    I looked the meaning of three of the things condition list on my MRI to just see what they meant

    Bilateral Neural Foraminal Encroachment?
    Answer
    Bilateral Neural Foraminal Encroachment is a medical condition in which deterioration to the spinal column is experienced. This specific type of spinal deterioration is experienced on both sides of the spine. The damage can be seen as pitting or holes in the nerves that run down the spinal column.

    Lumbar ligamentum flavum hypertrophy
    is due to accumulation of inflammation-related scar tissue.


    Explain Neural Foraminal Encroachment

    To explain neuroforaminal encroachment you must first understand it's a medical condition in which the the neuroforamen is partially blocked or of a reduced size due to bulging disks, tumors, or degeneration. Neuroforamen are the holes located on both sides of the vertebra and which allow nerve roots to exit the spinal cord. Each vertebra has two neuroforamen that let the nerves pass information to the rest of the body. Usually pain medication won't help the pain caused by the condition and most doctors will opt for a surgical remedy

    Now I wish I hadn't looked it up because now from the one just above if the doctors can't do anything to make it better i won't have pain pill that I'll be able to rely on to at least ease the pain and that real scary

     
    Old 08-05-2013, 08:10 PM   #11
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    Re: Would some one please explain my MRI results in a book for dummies format

    Lynn, Im so sorry that you are hurting so much! When the exiting nerve root is impinged or pinched sometimes the dr opts for surgery that decompresses or makes the nerve root free & other drs will order medical management with PT, epidural steroid injections & pain mgmt. The spine dr will know what to do & if you are hurting help you. There are many options but do you have radiating pain? If you look at a dermatome map it shows which nerve root affects which body part i.e. L4-5 the 3 middle toes, mine are numb, the dermatome map is self explanatory. I hope you get better!

     
    Old 08-06-2013, 10:37 PM   #12
    Lynn92536
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    Re: Would some one please explain my MRI results in a book for dummies format

    My gosh yes my toes especially the two closest to my big toe on my left foot and Thank you for thinking to ask me that question and informing me about the deratome man. Because I was wondering if the numbness related to my back. Or something else just as serious heart related problems run on both sides of my family.

    Thank you very much for all your insight and suggestions on thing to read.
    And for listening to me. It has been greatly appreciated i hope i didnt bore you with my rambling I don't have that kind of support from my family except my dad but he lives in another state. This well be my last reponse on this post I'm going to spend sometime checking out other post from people who have also been through and see some of the thing either helped or didn't help

    I will let you know what happened with my PCP after my appoint

     
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