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    Old 08-11-2020, 04:58 PM   #1
    Dean601
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    Help with MRI results

    My problems started in January 2020 with numbness of my toes on both feet , right much worse than left and a feeling of walking on sand, I never experienced any back pain. Iím in relatively good health for a 63 yr old female except for Raynauds, which has only ever been a minor inconvenience. I have always been physically active walking with some running 5-15 miles a day. In March the numbness was starting to worry me so I started with a podiatrist who said it was either nerve pain or the raynauds and referred me to my rheumatologist and an Orthopedic. Rheumatologist said it was nothing that had to do with the Reynards and ortho said he couldnít figure it out but scheduled an MRI of my right foot which I did postpone several months because of Covid. I finally went for mri of rt foot 6/4/2020 which was totally normal but numbness of toes and now metatarsal pads was getting worse but still no back pain. I had an mri of lumbar spine 7/3/2020 and results were not to good. I was a little shocked.

    VERTEBRAL BODIES: There are five lumbar type vertebral bodies. There is mild dextroscoliosis of the Thoracolumbar spine and mild focal levoscoliosis of the lumbar spine. There is grade 1 anterior spondylolisthesis of L-3 upon L-4. No compression fracture. Minimal focal Marrow Edema identified within the right Pericles of L-5 with no fracture. This may be reflective of mild stress injury.

    SACRUM: normal

    DISTAL CORD AND CONUS: normal

    LOWER THORACIC DISC SPACE: normal

    LUMBAR DISC SPACE:

    L1-L2 normal

    L2-L3 normal

    L3-L4: there is disk disiccation And loss of disk height. Moderate diffuse annular bulging and facet degenerative change with ligamentum flavum thickening. There is moderate tricompartmental canal stenosis resulting in slight redundancy of the Cordia equine nerve roots above this level. There is mild bilateral foraminal narrowing present.

    L4-5 : diffuse annular bulging with small central disc protrusion in mild facet degenerative change. Mild canal stenosis in bilateral Foraminal narrowing.

    L5-S-1: Mild annular bulging with a small focal right foraminal disc protrusion. There is an annular Fissure within the left paramedial aspect of the disc. Right greater than left facet hypertrophic degenerative change. Overall there is no canal stenosis. Mild right greater than left forminal narrowing

    Impression: lumbar degenerative disc disease L3-4, L4-5 and L5-S1. Canal stenosis is most pronounced at the L3-4 level secondary to facet hypertrophic degenerative change in anterior spondylolisthesis. There is resulting in redundancy of the Cordia equine nerve roots above this level.
    Small central disc herniation at L4-5 With mild canal stenosis in bilateral forminal narrowing

    At L5 S1 There is a small focal right foraminal disc protrusion and right greater than left facet degenerative change mild right greater than left forminal narrowing.

    So ortho office called to tell me I needed to go to pain management, what the heck I still was not in any pain, and needed an appointment with the neurologist since he could not see any abnormality of the MRI having to do with the numbness in my toes and foot.

    So out of desperation I went to my girlfriends chiropractor who said he could help me, well three adjustments later and guess what Iím in pain, laying here in my bed with five ice packs on. I went to my medical Doctor Who is a DO not an MD several days ago he told me the chiropractor shouldíve never touched my back and he called ď total BSĒ on orthopedic and said he thought numbness was definitely a result of the abnormalities in the MRI and told me the MRI was not good and had me schedule an appointment with neurosurgeon.I also went to a neurologist who scheduled nerve conduction studies and scheduled me an appointment with a neuropathy specialist but kept saying are you sure the ortho didnít think the numbness had anything to do with your abnormal MRI? I love my medical doctor and value his opinion so when he told me the MRI was not good my heart sank. I have been doing so much research on all these terms that my head is starting to spin so if anyone has thoughts on my MRI I would truly appreciate it and if anyone can tell me their thoughts on the chiropractor making the nerve compression even worse. I am going to call the chiropractor tomorrow I only had three adjustments and I am going to ask him about it. The medical doctor also gave me a Medrol dose pack which I am finishing up tomorrow but has not relieved any of the pain and has only given me tons of side effects. I know it could be worse but Iím sitting here and I have myself in such a deep depression because I really canít do anything. Thank you iím sorry about the long post.

     
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    Old 08-12-2020, 04:13 AM   #2
    Titchou
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    Re: Help with MRI results

    Your MRI is very similar to mine and in the same area. I had some odd issues here and there and thought it was just arthritis until I ran a 5K and thought I had pulled/torn my piriformis. Nothing helped so I finally went to a sports med doc who did the MRI. She sent me to PT and I was amazed how much it helped. I did the dose pack too and it did not help. I do my exercises at home and also see a chiropractor. I can tell when I haven't kept up the exercises. I have not had a spinal yet but am not ruling it out. I want to avoid any surgery as it's complicated and will have me out of commission for weeks. I'm 74 and jogged for 30 years.

     
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    Old 08-12-2020, 05:16 AM   #3
    Dean601
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    Re: Help with MRI results

    Thank you for the response, I’m hoping PT is the answer for me also. Did you also have weakness in your legs Because mine is getting worse but again I had read that is a Side effects of the steroids, and it’s also encouraging to read 74 and still going strong. Thanks

     
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    Old 08-12-2020, 10:24 AM   #4
    Titchou
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    Re: Help with MRI results

    Oh yes...very weak at times and may even stumble because the left one doesn't get in front quickly enough. But pain is much better

     
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    Old 08-24-2020, 06:55 PM   #5
    teteri66
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    Re: Help with MpRI results

    First of all, a few tips on reading any report in spine orthopedics, pain management, etc. ďMildĒ is on a scale that is the following: minimal, mild, something and severe....at the moment, I am blanking on the ďOKĒ term. When something is rated minimal or mild, doctors tend to pay no attention. The one I cannot remember is the dividing line where a doctor may or may not ask you more questions...depending on doctor. Severe always gains at least a listen.

    I doubt your weakness is a result of steroids. I never had that happen. I believe it is the result of your stenosis. Please do not go to a chiropractor. There are a few out there that might be able to help, but most will cause more issues because your pain is not coming from muscular issues. You have structural problems!

    My guess ...and you know none of us are physicians...is that your spondylolisthesis at L3-4 is squeezing the cord to the point that it is causing neuropathy in your feet.

    Depending on the amount of stenosis, PT might be able to help...but this only works up to a point. If the nerve is being badly compressed, the only way to free it is through surgery.

     
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