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  • Lumbar MRI Results explained

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    Old 02-01-2018, 01:13 AM   #1
    Ehsurc78
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    Lumbar MRI Results explained

    Hi All, Iím 39 yr old male who is suffering with chronic low back pain and pain in right buttocks and down right leg this past year. Being treated with co-codomol 30/509 and pregabalin 50mg two at night and one in morning.. just got MRI Results and waiting to see an orthopaedic doctor. Can anyone explain to me what it all means any help would be great thanks!!

    Findings: Spinal Alignment is satisfactory. Vertebral body heights and disc spaces maintained. The L5/S1 disc is dehydrated. Likely haemangiomata within the L1 and L3 vertebral bodies. Spinal cord returns a normal signal. Conus is appropriately sited at the lower border of L1.

    L3/L4: Disc unremarkable
    L4/L5: Disc unremarkable
    L5/S1: Circumferential disc bulge. Annular fissure contacting the traversing left S1 nerve root. Mild bilateral facet joint hypertrophy.

    Conclusion:
    1: no nerve root compression
    2: Potential for left S1 nerve root irritation at L5/S1

     
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    Old 02-01-2018, 01:26 PM   #2
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    Re: Lumbar MRI Results explained

    I am certainly not a doctor and not equipped to read an MRI; however, having a ton of them myself, I can tell you that it looks like you are in good shape! Nothing truly abnormal is noted.

    The fact that you have some bulging at L5/ S1 is not great, but its not horrible either. I have lived with 3 herniation's over the past 10 years from a car accident and they intermittently bother me and then stop... they dont usually do anything for a herniated disc unless they prescribe physical therapy to try to alleviate the pain.

    Let us know what your ortho says! Good luck! Please remember that this is in no way medical opinion or advice, just giving you a few thoughts from a fellow back pain sufferer!
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    Old 02-01-2018, 11:38 PM   #3
    Ehsurc78
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    Re: Lumbar MRI Results explained

    Thanks for your speedy reply!! Iíve had PT for 3 months which seemed to make it worse, the doctor has mentioned injections I was wondering would this help my situation? Thanks again

     
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    Old 02-02-2018, 06:16 AM   #4
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    Re: Lumbar MRI Results explained

    Welcome to the board. It is important to remember that the MRI is just one piece of the diagnostic puzzle...and the report is but a brief summary of what the radiologist considers the most important findings.

    I'm guessing at this point you are not seeing a spine specialist? This could be either an orthopedic spine or neuro surgeon who limit their practice to issues of the neck and back. If your issues linger without improvement for several more months, I would suggest you seek one out. Sometimes people waste time because the family doctor or generalist has overlooked an important detail shown on the MRI.

    As to the report, it indicates that mostly the lumbar spine is in good shape, with the exception of the L5-S1 segment. Here there are signs of degenerate changes. The disc is showing some bulging...and it is pushing out of the disc space where it is pushing into the S1 spinal nerve. I would normally say it is this contact that is causing your symptoms...but, in your case, you state you have pain in right buttocks and down right leg. The bulge is contacting the nerve on the LEFT side...so, just going by the MRI report, your symptoms and report do not match up!

    The ortho specialist will look at all the images from MRI and will perform a basic neurological and physical exam and will listen to your description of symptoms and how they impact day to day living. Combining all this information, the doctor will be able to provide an accurate diagnosis and plan for treatment...which may include a cours of physical therapy, medication to reduce inflammation, epidural steroid injections to reduce pain, inflammation and to aid healing, etc.

     
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    Old 02-02-2018, 11:07 AM   #5
    Ehsurc78
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    Re: Lumbar MRI Results explained

    Thanks a lot for your reply it is very informative. I was wondering about it saying left S1 myself all my pain is on right hand side, Iím like an old man of 90 every morning with pain in my right lower back and sitting for long periods and travelling in a car the pain in my right buttocks and done right leg is really sore this been going on over a year so I will be glad to get some answers from my referral to ortho!!

     
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