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Low Back pain, understanding MRI

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Old 01-13-2012, 03:31 PM   #1
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Question Low Back pain, understanding MRI

35 yr old Female here, in pain all the time. I have not had an accident or injury.....
i just had MRI of lower back, i have had back pain for past 8 yrs. i went to an ORthopedic doctor, MRI results, he said, is degernative disk disease, and there is nothing he can recommend for treatment other than PT, which i have just recently done. I feel dimissed by doctor, this back pain sucks! he said NO muscle relaxers, no pain medication, no injections, just to take anti inflam med for 2 weeks.

Can anyone break this down to me in a language i can understand>?

Marrow: minimal reactive adeosine plate changes at l4-l5. There is degerative loss of disk signal greater at l4-l5 and l5-s1. NO clear cut par defect

l3-L4: Tehre is mild facet and ligamentum flavum hypertrophy but no stenosis or focal disk protrusion.

L4-L5: Mild facet and ligamentum flavum hypertrophy left greater than right. no absolute spinal stenosis. However there is a central to right paracentral extrusion with some superior extension. This produces some mass effect on the thecal sac, minimal AP diameter is at 13 mm. Borderline inferior foraminal narrowing.

L5-s1: Centeral disk extrusion and tiny annular tear at this level. Procucing subtle mass effect on the thecal sac but no ablsoulte narrowing of the AP diameter fo the spinal canal. Borderline inferior foraminal narrowing at this level.

WHY am i pain every daY?

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Old 01-13-2012, 06:58 PM   #2
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Re: Low Back pain, understanding MRI

I do have the images as well, in case that would be helpful i can post them as attachments...

Last edited by moderator2; 01-13-2012 at 07:18 PM.

Old 01-15-2012, 12:00 AM   #3
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Talking Re: Low Back pain, understanding MRI

Hi there! DDD CAN be a painful condition, however a lot of doctors seem to think of it as just a natural part of aging. I do see above that at the L5/S1 level you have an annular tear. That can cause pain as well, so I am surprised they didn't mention that. Since this doctor is so dismissive of your pain, I would suggest you see a different doctor to either take a second look at your MRI and see if they think other treatment options would be beneficial, OR to see if you could get into some sort of pain management program. I actually live in Nebraska too, so if you need some dr info, I can try to help you. Good luck!!

Last edited by moderator2; 01-15-2012 at 08:01 AM.

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back pain, degenerative disc disease, mri report interpretation

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