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  • Anyone want to explain this MRI? The Dr's don't really explain things.

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    Old 02-18-2022, 04:32 PM   #1
    MsCo2fey
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    Anyone want to explain this MRI? The Dr's don't really explain things.

    Study Result
    Impression
    IMPRESSION:
    Congenitally short pedicles within the lumbar spine, which may predispose to spinal stenosis.
    Mild to moderate lumbar spondylosis, as described.
    No significant central spinal stenosis.
    Normal caliber and signal of the visualized spinal cord.
    No evidence of acute fractures.
    Narrative
    MRI lumbar spine without contrast
    Comparison: None available
    Correlation: Lumbar spine films of April 4, 2017
    Technique: Sagittal T1, T2 and IR, axial proton density and T2.
    Additional History: "lumbar back pain. Evaluate for radiculopathy". Lower back pain. Lumbar radiculopathy not
    specified. Tobacco use. 10 pack-years. No known malignancy. Class I obesity with BMI 30.3. Wisdom teeth
    extraction, tympanostomy and cystoscopy No known additional surgeries.
    FINDINGS:
    Congenitally short pedicles within the lumbar spine, which may predispose to spinal stenosis.
    Transitional thoracolumbar vertebra, with hypoplastic 12th ribs.
    5 lumbar-type vertebrae.
    Unremarkable alignment.
    Conus medullaris terminates at L1. Rudimentary S1-S2 disc.
    Schmorl's node, superior endplate of L1.
    Bone marrow signal otherwise unremarkable.
    Disc desiccation throughout the visualized thoracolumbar spine.
    At least mild osteoarthrosis, visualized sacroiliac joints.
    No aneurysm of visualized abdominal aorta.
    L5-S1:
    Mild-to-moderate posterior narrowing of disc.
    Multisystem bulge/osteophyte, with mild-to-moderate lateral recess stenoses.
    Mild-to-moderate RIGHT neuroforaminal stenosis.
    Mild-to-moderate LEFT neuroforaminal stenosis.
    No significant central spinal stenosis.
    Moderate bilateral facet hypertrophy.
    Trace RIGHT facet joint effusion.
    L4-L5:
    Mild posterior narrowing of disc.
    Mild diffuse disc bulge/osteophyte, with moderate lateral recess stenoses.
    Mild-to-moderate RIGHT neuroforaminal stenosis.
    Mild-to-moderate LEFT neuroforaminal stenosis.
    No significant central spinal stenosis.
    Moderate bilateral facet and ligamentum flavum hypertrophy.
    Trace bilateral facet joint effusions.
    L3-L4:
    Mild posterior narrowing of disc.
    Mild diffuse disc bulge/osteophyte, with moderate lateral recess stenoses, LEFT greater and RIGHT.
    Mild-to-moderate RIGHT neuroforaminal stenosis.
    Mild-to-moderate LEFT neuroforaminal stenosis.
    No significant central spinal stenosis.
    Mild-to-moderate bilateral facet and ligamentum flavum hypertrophy.
    No significant facet joint effusions.
    L2-L3:
    Mild posterior narrowing of disc.
    Minimal diffuse disc bulge, with mild lateral recess stenoses.
    Mild RIGHT neuroforaminal stenosis.
    Mild LEFT neuroforaminal stenosis.
    No significant central spinal stenosis.
    Mild-to-moderate bilateral facet and ligamentum flavum hypertrophy.
    No significant facet joint effusions.
    L1-L2:
    Mild-to-moderate posterior narrowing of disc.
    No significant disc bulge.
    No significant RIGHT neuroforaminal stenosis.
    No significant LEFT neuroforaminal stenosis.
    No significant central spinal stenosis.
    Mild bilateral facet and ligamentum flavum hypertrophy.
    No significant facet joint effusions.

     
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    Old 02-19-2022, 05:40 AM   #2
    Titchou
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    Re: Anyone want to explain this MRI? The Dr's don't really explain things.

    What kind of doctor are you seeing? You should be seeing a neurosurgeon....or at least a sports med doctor. You have a lot of mild to moderate things going on - all of which are impacted by your weight. not to get very technical but....you have a good bit of mild stenosis (narrowing of openings which nerves run thru so can cause pain there). You have some disc deterioration (dessication) and that will cause the same thing. Sciatica is a symptom of both. You also have arthritis - osteo not rheumatoid - which causes a more localized stabbing type pain rather than the sciatica nerve pain in the buttocks and running down the leg.

    there are various strategies to try - and your insurance and doctors will move you thru those - such as PT, chiropratic, massage, epidurals, pain ablation for the arthiritis, etc. before surgery would be an option. I have several of the same things going on plus scoliosis so have been working thru the regimen to determine which pain is caused by which condition and how to go about correcting. Anti-inflammatories can help in the short term also

     
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    Old 02-19-2022, 08:05 AM   #3
    MsCo2fey
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    Re: Anyone want to explain this MRI? The Dr's don't really explain things.

    I saw a neurosurgeon. He said unfortunately there's not a surgery that's going to fix me . I haven't been to any more Dr's since then. I've been dealing with this for 10 years now I'm only 38. The only thing they want to offer me is a SCS. Which is only good for 10 years and insurance will only cover one. So where's that gonna put me in 10 years and I'm not even gonna be 50

     
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    Old 02-19-2022, 03:42 PM   #4
    Titchou
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    Re: Anyone want to explain this MRI? The Dr's don't really explain things.

    I'm confused. No epidural? No laminectomy for the stenosis? No referral to a pain mgt doc? You need a different - and better - neuro.

     
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