It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board

  • Some help understanding my MRI results

  • Post New Thread   Reply Reply
    Thread Tools Search this Thread
    Old 02-25-2016, 03:07 PM   #1
    GIJoesMom
    Newbie
    (female)
     
    GIJoesMom's Avatar
     
    Join Date: May 2011
    Location: Manteca, Ca
    Posts: 7
    GIJoesMom HB User
    Some help understanding my MRI results

    I am a 47 year old female, I have had chronic pain for years and was diagnosed with fibromyalgia 20 years ago. I was in a terrible car accident in June and since then I am just constantly miserable. One of the new things going on is hip and groin pain which I thought might be a labral tear but my hip mri was mostly normal. However they also did a lumbar MRI and I'm thinking I should request to have an mri done on the rest of my back because I'm experiencing moderate to severe pain all the time and it feels like it's all over the place. I also get a tingling/needle sensation above my let hip in the back down through my left buttock as well as down the front of my right thigh.

    I have one other weird thing going on and I don't know if it's related. I have a difficult time urinating. Sometimes I'm in the bathroom for 15 minutes or longer trying to pee. It can cause a bit of anxiety.
    Can anyone help me to better understand the mri results? I appreciate the help.



    L1-2, L2-3
    mild degenerative disc bulges 2mm and greater in the central and right paracentral region. A far left lateral annular tear is present at L2-3

    L3-4
    There is low grade left facet and ligamentous hypertrophy. A left lateral disc bulge and left foraminal stenosis, does not result in nerve root impingement.

    L4-5
    There is moderate left lateral recess and foraminal narrowing, with facet and ligamentous hypertrophy plus a small broad based disc bulge (1mm) and a small left lateral disc bulge (2mm) and annular tear. There is effacement o the thecal sac containing the proximal let l5 rootlets. They are not displaced.
    L5-S1
    There is low grade facet arthropathy. There is a concongenitally narrow lumbosacral interspace secondary to L5 being transitional. The transverse process of L5 articulates with the sacrum.

    Other: There is a Tarlov's cyst int the upper sacral canal measuring 15mm in length and 7 mm in AP dimension.

    Last edited by GIJoesMom; 02-25-2016 at 03:13 PM.

     
    Reply With Quote
    Sponsors Lightbulb
       
    Old 02-25-2016, 05:49 PM   #2
    Mg2121
    Veteran
    (female)
     
    Join Date: Aug 2015
    Posts: 300
    Mg2121 HB UserMg2121 HB UserMg2121 HB UserMg2121 HB UserMg2121 HB UserMg2121 HB User
    Re: Some help understanding my MRI results

    I would see a neurosurgeon regarding the mri and the urinating issues. The spinal cord nerves could be pinched causing the urinary problems which if that is the case its extremely important to have this correted asap. If this keeps up i would go to the hospital with all your complaints so they can address it quicker.

     
    Reply With Quote
    The Following User Says Thank You to Mg2121 For This Useful Post:
    GIJoesMom (02-26-2016)
    Old 02-27-2016, 11:19 AM   #3
    GIJoesMom
    Newbie
    (female)
     
    GIJoesMom's Avatar
     
    Join Date: May 2011
    Location: Manteca, Ca
    Posts: 7
    GIJoesMom HB User
    Re: Some help understanding my MRI results

    Thank you Mg2121. I'm struggling with getting good medical care because I have to work through this with workmen's comp. I live in the middle of nowhere as well so the hospital here is not very helpful. I am still hoping someone can help me to decipher the MRI results.

     
    Reply With Quote
    Old 02-27-2016, 11:42 AM   #4
    teteri66
    Senior Veteran
    (female)
     
    Join Date: Nov 2010
    Location: USA
    Posts: 9,238
    teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
    Re: Some help understanding my MRI results

    I am just heading out the door but I will try to explain your MRI later this evening. There is enough going on just in the lumbar spine that could explain your issues. I am sorry you were in an auto accident. They are often life-altering events.


    More later.

     
    Reply With Quote
    Old 02-27-2016, 07:45 PM   #5
    teteri66
    Senior Veteran
    (female)
     
    Join Date: Nov 2010
    Location: USA
    Posts: 9,238
    teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
    Re: Some help understanding my MRI results

    Basically the report indicates that there are degenerative changes throughout the lumbar spine area. The discs are comprised of something like 90% water and are the cushions between the bones of the spine. They obtain nutrients from the vertebral endplates which adjoin the edges of the disc but have no vessels running through them to provide nourishment. As we age, the disks are subject to much wear and tear just from the acts of daily living. As we age the discs tend to dry out and flatten. This can set in motion a cascading series of events that can result in some instability.

    There are signs of disc degeneration at all levels except for L5-S1. It is fairly minor at the top two segments. At subsequent levels, bulging discs create some additional problems...facet hypertrophy...which means that the facet joints , which are adjacent to the disc, which are synovial joints that, along with the disc, allows us to bend and twist. Hypertrophy just means that there are degenerative changes and enlargement. The adjoining ligaments are show signs of degeneration by losing elasticity and hardening.

    Stenosis is another term mentioned that means "narrowing." This can occur in the central spinal canal or in what is called the foramina (plural is foramen), which is a small opening located at each vertebra that allows the spinal nerve to pass out of the spine to the area of the body that it innervates....in order for the nerve to be healthy and to function normally this "hole" must be clear and open. If something, like a bulging disc, enlarged facet joint, bone spur, swollen tissue, etc. obstructs this area, the nerve can become irritated or even compressed, it cannot function normally. The result is pain that can be felt either in the spot of compression or anywhere along the pathway of the nerve. So, a compression of the L4 nerve could cause pain in the lower back or numbness in the big toe. This path of a particular innervation is called a dermatome. You can find a "dermatome map" online that will show you which spinal nerve innervates which particular area of the body.

    You will notice that at L3-4 there is a disc bulge that goes off to the left causing stenosis in the foramina on the left side...but is not pinching the nerve at this level.

    The next level down, at L4-5, the disc is bulging more and it is causing a similar problem -- moderate stenosis in the little canal (lateral recess) and foramina on the left side, with hypertrophy of the left facet joint and ligament.
    This disc has an annular tear. This is a tear or rip in the outer edge of the disc which in and of itself can be source of pain. In addition there is effacement of the thecal sac. This is the membrane that surrounds and contains the cerebral spinal fluid and the nerves of the cauda equina...in the central canal. ( above L1 and running up to the brain this would be called the spinal cord). This means that something is pushing into the thecal sac which can put pressure on the nerves but they are not being pushed out of position.

    At L5-S1 there is a small amount of arthritic changes in the facet joint. In addition there are some structural issues that you were born with. There is a transitional vertebra which means that it is slightly attached to the adjacent vertebra. It didn't quite separate completely when formed in utero which results in the space being more narrow than in most people....

    In addition a Tarlov cyst is mentioned. This is a fluid filled cyst that forms along the central canal, most commonly in the sacral area of the spine. This is just one more thing that can put pressure on the spinal nerves.

    All the symptoms you mention in your post could be explained by the issues you have going on in the lumbar spine. Hip and groin pain are often associated with lower lumbar nerve compression.

     
    Reply With Quote
    Old 03-02-2016, 10:00 AM   #6
    GIJoesMom
    Newbie
    (female)
     
    GIJoesMom's Avatar
     
    Join Date: May 2011
    Location: Manteca, Ca
    Posts: 7
    GIJoesMom HB User
    Re: Some help understanding my MRI results

    Thank you so much! I saw the pm doctor yesterday and he wants to do some kind of facet joint injections, I'm supposed to get a phone call. Meanwhile, at times I'm in excruciating pain. I'm surprised that there's no nerve impingement with the amount o pain I'm in. Also, if I'm standing for very long I feel like one or the other leg is giving out on me, this week it's my left leg.

     
    Reply With Quote
    Old 03-02-2016, 10:20 AM   #7
    GIJoesMom
    Newbie
    (female)
     
    GIJoesMom's Avatar
     
    Join Date: May 2011
    Location: Manteca, Ca
    Posts: 7
    GIJoesMom HB User
    Re: Some help understanding my MRI results

    I am wondering if the MRI results indicate much right side pain? I have left side pain but most often my pain is on the right shooting down the back of my leg, in my right groin area and a specific spot just right of my spine at the top of my hip area. It's only recently that I've begun to experience tingling and pain on the left side as well. Is there any explanation for this in the MRi?

     
    Reply With Quote
    Old 03-02-2016, 07:44 PM   #8
    teteri66
    Senior Veteran
    (female)
     
    Join Date: Nov 2010
    Location: USA
    Posts: 9,238
    teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
    Re: Some help understanding my MRI results

    Are you seeing a spine specialist? This could be an orthopedic spine or a neuro surgeon. If you have not had an evaluation by one or the other, I highly recommend you make an appointment. There may be more going on than is apparent from the MRI alone.

    Nothing specifically indicates right-sided pain. All findings pertain to left side with the exception of what is going on at L5 where the space is congenitally narrowed and the vertebra is transitional. It is possible that could create pain on both sides.

    While the MRI does not specifically reveal nerve compression, there are several areas where nerves could be irritated...like facet joint issues can cause pain; an annular tear can cause pain; the Tarlov cyst could definitely cause pain and it could be right, left, both and could be intermittent or constant.

     
    Reply With Quote
    Reply Reply

    Tags
    annular tear, facet arthropathy, foraminal stenosis, mri



    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is Off
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 05:49 AM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!