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  • Leg Pain - MRI Results

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    Old 02-22-2013, 07:13 AM   #1
    smilen2894
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    Leg Pain - MRI Results

    I am a 36 year old female. I have had back pain for a few years. No known injuries. Just recently it has started to affect my legs to the point I am having trouble walking because of the intense pain. I have undergone physical therapy, traction and injections. I also had a Doppler study to test for blood clots which is negative. The pain is down both legs from the hip to my feet but is more severe in my calves. I just had another MRI and the results are as follows:

    There is disc desiccation present at L5-S1 with the remainder of the disc spaces appearing well preserved.

    L5-S1: Mild posterior element degenerative change, mild disc bulge, and central and right paracentral disc protusion indenting the anterior aspect of the thecal sac. Bilateral subarticular region narrowing. There is moderate right and left neural formaminal narrowing present.

    L4-L5: Mild posterior element degenerative change. Patent central canal. There is moderate neural foraminal narrowing present bilaterally related to disc bulge and posterior element changes. Findings are slightly worse than on the previous exam.

    I am not sure what is causing the intense pain in my legs but I am looking for some type of relief. Should I have surgery? Has anyone had similar issues that was resolved by therapy or surgery? Looking for some advice. Thanks In Advance. God Bless.

     
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    Old 02-22-2013, 10:28 AM   #2
    teteri66
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    Re: Leg Pain - MRI Results

    Are you currently being seen by a spine specialist? This would be a fellowship-trained orthopedic spine surgeon or a neurosurgeon whose practice is limited to the back and neck.

    I would suggest you get a flexion/extension x-ray to check for spondylolisthesis. This is a situation where one vertebra slides over the top of the adjacent vertebra. It creates instability at the segment and is fairly common at the two levels where you have problems. Sometimes it can be hard to see on MRI -- or by a doctor who isn't used to looking for it.

    The pain in your legs is a result of the nerve compression you are experiencing as a result of your issues at L4-L5 and L5-S1.

    Since your stenosis appears to be mild to moderate, you will start out with conservative methods of treatment. If these have no effect, surgery may be considered to clean out the foramen and to decompress the spinal nerves.

    Having been a fellow sufferer, I can assure you that leg pain can feel much worse than what a MRI indicates it should be. Your MRI indicates some issues, but on the great scheme of things, not all that bad.

    [B]Findings are slightly worse than on the previous exam.
    [/B]

    Looks like the stenosis is somewhat worse than it was at the time of your last exam. That is one problem with stenosis...it tends to get worse as we age.

    I would suggest you see a spine surgeon if you have not yet done so. These two specialties have the most training in and experience with diseases and mechanics of the back and neck.

    Last edited by teteri66; 02-22-2013 at 10:33 AM.

     
    Old 03-01-2013, 04:22 AM   #3
    prettyhira
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    Re: Leg Pain - MRI Results

    i need help.
    i went through an MRI. and the following are the results. i am just 21. and i am very tensed. if anyone could guide me through it.
    report: sagittal and axial T1/T2W MRI sequences through lumbosacral spine were performed. no prior comparison.
    the study demonstrates normal alignment with straightening of the curvature signifying muscular spasm.
    there is disc dessication noted from L5/S1 level which is associated with broadbased disc herniation posteroinferiorly directed indenting thecal sac. this is quite significant and also associated with narrowing of both neural foramina at this evel.
    rest of the lumbar discs are within normal limits.
    conus terminates at its expected anatomic position.
    there is no paraspinal soft tissue abnormality of any significance.
    CONCLUSION: dessicated disc with large disc bulge posteriorly directed at the level L4/L5.

     
    Old 03-01-2013, 04:23 AM   #4
    prettyhira
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    Re: Leg Pain - MRI Results

    i need help.
    i went through an MRI. and the following are the results. i am just 21. and i am very tensed. if anyone could guide me through it.
    report: sagittal and axial T1/T2W MRI sequences through lumbosacral spine were performed. no prior comparison.
    the study demonstrates normal alignment with straightening of the curvature signifying muscular spasm.
    there is disc dessication noted from L5/S1 level which is associated with broadbased disc herniation posteroinferiorly directed indenting thecal sac. this is quite significant and also associated with narrowing of both neural foramina at this evel.
    rest of the lumbar discs are within normal limits.
    conus terminates at its expected anatomic position.
    there is no paraspinal soft tissue abnormality of any significance.
    CONCLUSION: dessicated disc with large disc bulge posteriorly directed at the level L4/L5.

     
    Old 03-02-2013, 12:19 AM   #5
    jocelyn7035
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    Re: Leg Pain - MRI Results

    You have to make sure that the physical therapies that you practice must be faithful and also for immediate relief you can take the advantage of ice by applying it for every 2 hours.

     
    Old 03-03-2013, 03:46 AM   #6
    prettyhira
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    Re: Leg Pain - MRI Results

    hey. i just want to know 1 thing. most of the people tell me to have hot water bottle and only few said to apply ice. what should i do? what does ice do as compared to heating pad?

     
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    back pain, desiccation, herniated disc, mri, stenosis



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