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  • MRI report - what is my next option?

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    Old 04-08-2004, 04:30 PM   #1
    Jong
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    MRI report - what is my next option?

    I have suffered from back pain for about one year and half. Originally it started with the back muscle spasm as muscles have become really tight.
    It is tighter on one side than the other, causing vertebrate alignment deviation as L3 to L5 curver to my right side (Slightly).

    I finally did my MRI after seeking chiropratic help without any improvement:
    Lately I have been getting tingling and shootong sensations in my feet.

    Can someone please read this and help me what my next step is. Is surgery next thing for me? Should I continue to seek PT? I believe the root of my problem is tight muscle and vertebrate misalignment.


    Visualized conus medillaris appears grossly unremarkable terminating at T12 - L1. There is no spondylolisthesis.

    At L4-L5, there is a small focal disc protrusion which is posterior and far right lateral which involves right lateral recess and the right neural foramen. It is approximately 4 mm in AP dimesion and approximately 8 mm in width. It causes mild mass effect upon the right interior thecal sac, but there is no central spinal canal stenosis. The right nueral foraman appears moderately stenosed. In addition, there is mild diffuse posterior disc bulge. The left neural foraman appears slightly stenosis secondary to disc bulge. The right facet joint appears midly hypertrophied, the left appears minimally hypertrophied.

    At L5-S1, there is a evidence of a broad-based posterior disc protrusion which appears small and is approximately 4-5 mm in AP dimension. It appears slightly more impressive on the axial spin echo T1 sequence. It does not appear to cause significant mass effect upon thecal sac. The neural formina bilaterally appears slightly stenosed secondary to disc bulge. There is no central spinal canal stenosis.

    At more superior levels, no evidence of significant disc bulge, protrusion or central spinal canal stenosis identified. Neural foramina appears grossly patent.

    BTW, what is the difference between the bulge and protrusion?

    THanks.

     
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    Old 04-08-2004, 11:24 PM   #2
    Jong
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    Re: MRI report - what is my next option?

    I wouls appreciate also if someone can help me understand what the MRI report is exactly saying. I do not understand all the medical term although it seems like I have nerve compression at L4 and L5 level.

     
    Old 04-09-2004, 08:39 AM   #3
    injured betty
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    Re: MRI report - what is my next option?

    [COLOR=Magenta]Visualized conus medillaris appears grossly unremarkable terminating at T12 - L1. There is no spondylolisthesis[/COLOR]

    this is good

    [COLOR=Magenta]At L4-L5, there is a small focal disc protrusion which is posterior and far right lateral which involves right lateral recess and the right neural foramen. It is approximately 4 mm in AP dimesion and approximately 8 mm in width. It causes mild mass effect upon the right interior thecal sac, but there is no central spinal canal stenosis. The right nueral foraman appears moderately stenosed. In addition, there is mild diffuse posterior disc bulge. The left neural foraman appears slightly stenosis secondary to disc bulge. The right facet joint appears midly hypertrophied, the left appears minimally hypertrophied.[/COLOR]

    enlarged facet joint/minimally hypertrophied

    You have a bulging disc.

    stenoisis>narrowing

    If you are over 35, everyone has bulging discs.

    [COLOR=Magenta]At L5-S1, there is a evidence of a broad-based posterior disc protrusion which appears small and is approximately 4-5 mm in AP dimension. It appears slightly more impressive on the axial spin echo T1 sequence. It does not appear to cause significant mass effect upon thecal sac. The neural formina bilaterally appears slightly stenosed secondary to disc bulge. There is no central spinal canal stenosis.[/COLOR]


    bulging disc


    There is no mention of any impingment on a nerve. The next step is an EMG.

    [COLOR=Magenta]At more superior levels, no evidence of significant disc bulge, protrusion or central spinal canal stenosis identified. Neural foramina appears grossly patent[/COLOR].

    Looks good

    [COLOR=Magenta]I have suffered from back pain for about one year and half. Originally it started with the back muscle spasm as muscles have become really tight.
    It is tighter on one side than the other, causing vertebrate alignment deviation as L3 to L5 curver to my right side (Slightly). [/COLOR]

    I would seek muscle relaxers and see if that works, stretches, manipulation by a DO, massage, and a Neurologist if this does not help.

    Your back is looking normal to me

    They can pull on one leg, do leg weight tests to see if one is longer than the other and needs adjustment at the Chriroprator

     
    Old 04-13-2004, 11:00 PM   #4
    Jong
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    Re: MRI report - what is my next option?

    THanks for the input.. I appreciate your feedback.

    It seems like from your comment that my nerve roots to my legs are getting pressed by bulging discs. I am getting concerned as I have tingling and radiating pains in my feet. Does this condition improve on its own? Does PT help? Do you think bulging discs can sometimes fall back to its original position?

     
    Old 04-14-2004, 10:29 AM   #5
    injured betty
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    Re: MRI report - what is my next option?

    [QUOTE=Jong]THanks for the input.. I appreciate your feedback.

    It seems like from your comment that my nerve roots to my legs are getting pressed by bulging discs. I am getting concerned as I have tingling and radiating pains in my feet. Does this condition improve on its own? Does PT help? Do you think bulging discs can sometimes fall back to its original position?[/QUOTE]


    You need an EMG from a Neurologist.


    I believe that hyprotropied means arthritis but you may want to check that out on the net.


    There does not seem to be any impingment on the nerve on your MRI.


    the bad part is the bulging discs usually end up as herniated discs, but everyone over the age of thirty has them so I would not worry about it unless it impinges on a nerve.

     
    Old 04-16-2004, 11:28 AM   #6
    Jong
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    Re: MRI report - what is my next option?

    Thank you so much for your feedback.
    Since you guys are saying there are no nerve piching in my spine and I am having tingling and shooting sensations in my feet and toes, i am curious if muscle tightness in my legs and buttock muscles can cause these pains.
    I really have tight buttock muscles on my right and left hips(throughout) and this really makes me feel uncomfortable to sit more than 10 minutes..

    The muscle feels especially hard just right and left side the sacrum bones as well as muscles leading to upper part of my legs.

    Thanks..

     
    Old 04-18-2004, 12:21 PM   #7
    Jong
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    Re: MRI report - what is my next option?

    I forgot to mention that I have moderate DDD at L5-S1. From the MRI films, the disc appears more black, which is a sign of dehydration ( I was told).
    I am only 34 and I am quite depressed about what lies ahead of me as I feel that I am headed for more pain and disability down the road although the pain is manageable at this point..

     
    Old 04-19-2004, 12:00 AM   #8
    injured betty
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    Re: MRI report - what is my next option?

    jong: DDD is normal at your age. After the age of 30 your body starts aging backwards. That is why it is so important to take care of it.

     
    Old 04-19-2004, 09:44 PM   #9
    PsychLea
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    Re: MRI report - what is my next option?

    jong,

    Neural foraminal stenosis is indicative of nerve impingement from the disc as is stated in your report. You really need to see your doc and get a referral to a specialist, if you are experiencing pain, tingling or burning in any extremetie.
    __________________
    God bless,

    Lea

     
    Old 04-19-2004, 10:17 PM   #10
    Mart7
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    Re: MRI report - what is my next option?

    [QUOTE=Jong]I forgot to mention that I have moderate DDD at L5-S1. From the MRI films, the disc appears more black, which is a sign of dehydration ( I was told).
    I am only 34 and I am quite depressed about what lies ahead of me as I feel that I am headed for more pain and disability down the road although the pain is manageable at this point..[/QUOTE]

    I am so sorry about all you are going through. I would think at this point the next step would be an EMG (nerve study), to help determine what is causing all the symptoms you are experiencing. Sometimes, MRI's aren't completely conclusive and you deserve to get answers. Please keep us posted on how you are doing and what you find out. You are in my thoughts.
    -MJ

     
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