Back mri

insky112

Hello I have had back problems since I was 16. My parents did not believe me so now I am in a lot of pain. My lower back is the worst, I got 2 injections yesterday, a combination of steroids and a numbing agent. I feel a lot better and I can move again. But now I feel all the pain in my middle back and its like I cant win.

I saw my Spinal Dr today and he said from my MRI I am not that bad and almost all of my pain is from the Fibromyalgia. He pressed on the 5 points and for me this was excruciating. He said Lyrica will be the best thing and Cymbalta, but I know this wont be enough for me to even be alightly comfortable. I want to know what you all think on what my report states and what you think I should do. I am scared because my father has a lot of problems that I am developing and he was in Vietnam during the war and was exposed to Agent Orange and with what I have read I could have developed problems from that since I am his child. Thank you all so much!


Clinical information: Pain and numbness bilaterally in legs, lumbar
reticulata feet. Pain posteriorly to knee for 10 years, worsening
pain over last few weeks. History of herniated discs and stenosis in
lumbar region.

Unenhanced MR images of the lumbar spine were obtained.

Comparison is made with 5/21/2013 MR.

5 lumbar-type vertebrae are present. There is congenital narrowing of
the spinal canal from L1 through L4 similar to prior study.

The lateral aspect of the right kidney has a partially visualized
fluid intensity lesion suggestive of cyst. The paraspinous soft
tissues are otherwise unremarkable the tip of the spinal cord ends
normally at L1. No spondylolysis or spondylolisthesis is noted.

L5-S1: The facet joints are moderately arthritic worse on the right
where less than 5-mm facet joint cyst is present along the posterior
aspect of the joint. There is a conjoined origin of the right L5 and
S1 nerve root sleeves from the thecal sac. No disc protrusion or
significant stenosis of the spinal canal, lateral recesses or neural
foramina is noted. There is relatively increased amount of epidural
fat in this region narrowing the thecal sac as it passes into the
sacrum.

L4-5: The lateral recesses are moderately stenosed by broad disc
bulge, facet hypertrophy and ligament thickening. The facet joints
have small amounts of fluid within them. The disc has focal annular
tear posteriorly in the midline and loss of overall disc intensity.

L3-4: The lateral recesses and spinal canal are narrowed by broad disc
bulge. Facet and ligament hypertrophy contribute to the narrowing as
does an increased amount of epidural fat posterior to the thecal sac.
The disc is decreased in height mildly as well as an intensity.

L2-3: The lateral recesses and spinal canal are stenosed by
combination of disc bulge with central disc protrusion and increased
amount of epidural fat as well as facet and ligament hypertrophy. The
disc signal intensity is decreased on a degenerative basis. The
fragment of disc noted inferior to this level on the prior exam is no
longer identified.

L1-2: The facet joints are mildly arthritic.

T12-L1: Small right-sided disc protrusion indents the right ventral
aspect of the thecal sac but does not reach the spinal cord.

Schmorl's nodes are noted along the endplates abutting the L2-3-4,
L2-3 and L1-2 discs.

IMPRESSION:
1. The extruded disc fragment noted extending inferiorly from L2-3 on
the left is no longer identified.
2. Lumbar spine canal is narrow on a congenital basis with multilevel
degenerative disc disease as described. The greatest degree of spinal
canal and lateral recess stenoses are at L2-3 and L3-4. The L3-4
stenosis is similar to the prior study. The L2-3 stenosis is slightly
improved as the disc fragment is no longer identified.