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    Old 05-26-2017, 02:46 PM   #1
    Stormie45
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    Help understanding MRI

    I recently had a Lumbar Spine MRI due to pain and swelling in my right leg. I was hoping someone could help me understand it and maybe help me with what to expect from it

    T12-L3 are normal
    L3-L4 facet arthritis and annular budge. Some minimal disc symmetry in the right neural foramen without severe nerve root displacement
    L4-L5 prominent facet arthritis
    L5-S1 facet arthritis and disc desiccation with broad-based right neural foraminal protrusion abutting the thecal sac and forming and exiting nerve root

     
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    Old 05-29-2017, 06:14 PM   #2
    teteri66
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    Re: Help understanding MRI

    Welcome to the board. Does the pain run down the back of your leg? Where is the swelling located?

     
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    Old 05-29-2017, 06:17 PM   #3
    Stormie45
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    Re: Help understanding MRI

    Ayes it runs all the way down the back of my leg. My toes are numb but yet burn at the same time. The swelling is mainly in the top part of my right calf.

     
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    Old 05-30-2017, 12:43 PM   #4
    teteri66
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    Re: Help understanding MRI

    The facet joints are the synovial joints located at each vertebral segment that, along with the intervertebral discs, allow the spine to bend and twist. As a fluid-filled joint like the knee or ankle, they tend to enlarge as the work to stabilize the spine as the discs begin to degenerate. Unfortunately, the aging process in the human spine begins in our twenties. Just every day wear and tear and forces of gravity pushing down on the discs is enough to begin this process.

    You will notice the report indicates facet arthritis. This is what I am referring to. The joints tend to enlarge and sometimes little bone spurs develop along with these changes. This often results in a narrowing of the neural foramina, which are the openings through which a spinal nerve exits the spine and goes out to the part of the body it innervates.

    This process is the most advanced at the lowest lumbar segment, L5-S1. At this level, there are several things going on that indicate the degenerative process. In addition to facet joint arthritis, the disc is drying out and in addition, the disc is protruding out of the disc space. Disc material is pushing into the foramen at this level...and, (due to limited space) this is pushing over into the thecal sac (the tough ligamental sac that encompasses the spinal fluid and the bundled nerves of the cauda equina). It appears that this is encompassing the spinal nerve root at this level. This is what is causing the radiculopathy in your leg.

    It may be that with some physical therapy the disc protrusion will heal and move off the nerve root, which should alleviate the pain. A series of epidural injections may aid in this process. If conservative treatments are tried and fail, then a surgery to remove disc material from indenting the thecal sac may be recommended.

    I don't know about the cause of the swelling.

    Last edited by teteri66; 05-30-2017 at 12:44 PM.

     
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    back lower spine, pain, sciatic pain



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