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    Old 02-16-2019, 07:29 PM   #1
    Margatekid16's Avatar
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    Mri lumbar


    I have been dealing with severe lower back pains and left leg pains for nearly four months. Walking on leg is a challenge now. Very bad pains. Pain meds dont work anymore and its strong meds too.

    Most recent mri revealed
    L5 disc dissecation with loss of height disc bulge with focal central herniated component. Along with annular tear measuring 6x4x4 mm. Accuired some enhancement. Bilateral nearul foramina narrowing.
    L4 disc bulging. Endplates changes. Narrowing neural faromina

    What does that mean? Surgery?

    Orginal mri prior to that one was only two weeks apart. So first mri only has disc bulge with protusion. So it appears alot had changed between both mri in just two weeks.
    Severe lower back and left leg pain. Tingling and numbness in left leg. Trouble walking. Etc

    Last edited by Margatekid16; 02-16-2019 at 07:37 PM.

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    Old 02-17-2019, 08:04 AM   #2
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    Re: Mri lumbar

    If you did that much damage in only a few weeks, something caused it. Were you referred to a spinal surgeon?

    It could be that surgery is in your future- or they could want to try PT to strengthen the area, but a tear is a tear and tears do not heal without help...

    Please follow up and you may even want to get more than one opinion. Do you know how you did this? Bulges happen... they can be age related, sports related or even from an accident...but bulges do not usually turn into tears. Baby it until you see your next doctor and be careful of lifting in the meantime.
    RRMS- dx 05

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    Old 02-18-2019, 09:07 AM   #3
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    Re: Mri lumbar

    Welcome to the board. As stated the MRI indicates degenerative disc disease at at L4-5 and L5-S1. The disc at L4-5 is herniated and the annulus, which is the touch outer layer is showing a tear. Sometimes the tear can be painful as it creates a chemical reaction that when leaked onto the sensitive nerves causes pain. Also, there is narrowing in the foraminal openings....these are the openings located at each vertebral level that allows a spinal nerve to exit the spinal canal to go out to the area of the body it innervates. (Look online for a “dermatome map” to see this information). When a foraminal opening narrows, due to a herniated disc or other tissue pressing into it, from inflammation, or mineral build up, the opening decreases in diameter, putting pressure on the nerve. This accounts for much of the radiating pain people feel from a herniated disc or from spinal stenosis.

    At this point it makes sense for you to consult with a spine surgeon (either an orthopedic spine or neuro surgeon whose practice is limited to the neck and back) for an accurate diagnosis and plan for treatment. Don’t waste time letting a PCP or pain management doc manage your case unless/until you have an accurate diagnosis. If you don’t require surgery, the spine surgeon will refer you to PT or an appropriate treatment plan.

    It is possible the disc and tear will heal on their own...but it does take some time and patience.

    In the meantime, avoid twisting or bending at the waist, do not lift more than about ten pounds. Avoid sitting for longer than 15-30 minutes before getting up and rearranging yourself by stretching or brief walking. Avoid activities that cause back pain like vacuuming, gardening, anything “jolting.”...also, avoid repetitious movement like a treadmill, stair stepper, etc.

    Try alternating ice and heat for pain. Also try ibuprophen for pain and inflammation if tolerated.

    Good luck and let us know how you are doing!

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