It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board

I NEED HELP with my MRI findings...


Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 05-27-2014, 11:45 PM   #1
kidzbkidz
Newbie
(female)
 
Join Date: May 2014
Posts: 3
kidzbkidz HB User
I NEED HELP with my MRI findings...

I need help interpreting the findings. I tried researching myself but am a bit confused. I can't get an appointment with a neurologist for another six months. Here is what my paperwork says.
Findings: For the purposes of this study, there are five non-rib bearing lumbar-type vertebral bodies labeled L1-L5. Confirmation with plain radiographs is recommended prior to surgical intervention. Cord has normal signal character and morphology. Conus ends at L2-3. No evidence for intradural extramedullary lesions. No evidence for fatty filum. Disc space narrowing and dehydration are most significant at L5-S1. There are facet osteophytes throughout the lumbar spine. There are small chronic Schmorl's node endplatedeformities at multiple levels.
Findings by level:
L5-S1: Posterior disc/osteophyte complex and facet osteophytes result in mild-moderate bilateral foraminal stenosis. Therer is a right paracentral focal protrusion measuring 5mm in radial dimension with increased T2 signal, likely representative of an annular fissure that displaces the S1 nerve roots within the lateral recesses. Therer is no significant canal stenosis.
Impression: L5-S1 paracentral protrusion displacing teh S1 nerve roots bilaterally.

Any help making sense of this would be greatly appreciated. Thank you very much.

 
Sponsors Lightbulb
   
Old 05-28-2014, 08:37 AM   #2
ladybud
Senior Veteran
(female)
 
ladybud's Avatar
 
Join Date: Jun 2012
Location: Colorado
Posts: 6,037
ladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB User
Re: I NEED HELP with my MRI findings...

Essentially, your report indicates you have disc disease at the lowest level, where L5 meets Sacrum (S1) with a tear in the disc, central herniation, and some pressure on the nerve roots, which can cause pain and weakness in both legs/feet, usually worse on one side. These are degenerative (arthritic) changes that take place over years from wear and tear on the spine. The discs narrow, dry out, the capsule weakens and bulges, and may press on nerve roots causing sciatica pain. The osteophytes are bone spurs, part of the arthritic process. The facets are joints off to each side of then spine, also affected by arthritis. Depending on how uncomfortable you are, I would see a pain management specialist who does epidural steroid injections, if you have already been treated with anti-inflammatories, muscle relaxants, etc. Surgery should be a last resort and epidural steroids can work wonders for months/years for milder, localized disease like yours.

 
The Following User Says Thank You to ladybud For This Useful Post:
kidzbkidz (05-29-2014)
Old 05-28-2014, 08:44 AM   #3
teteri66
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 8,873
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: I NEED HELP with my MRI findings...

Welcome to the board. First, I would suggest that you make an appointment with a spine specialist rather than a neurologist for a first diagnostic appointment. This can be either a neurosurgeon, or a fellowship-trained orthopedic spine surgeon whose practice is limited to the neck and back.

A neurologist may be needed later for some testing, but that is not the best specialty when trying to find out what is causing your back issues.

The MRI report indicates that there are some signs of degeneration in all levels of the lumbar spine, indicated by the growth of little bony "bone spurs," and Schmorl's nodes...which are small protrusions of vertebral disc tissue that bulge through the ends of the vertebrae. They can form when there is trauma to the spine, like an accident, fall, etc., due to age-related disc degeneration, or an autoimmune condition that weakens vertebral tissue. It also indicates that your spinal cord ends at the L2-L3 level, which is a little bit lower than common. I do not believe this is a source for concern...just something that makes you unique!

The biggest issue occurs at the lowest segment, L5-S1, which is most likely the source of your pain. There are several degenerative changes that are causing stenosis, which is causing the S1 nerve root to be displaced on both the left and right side.

Stenosis, simply defined, is a narrowing. It occurs primarily at two places in the spine, the central canal and at the foramen. These are small openings located at the end of each vertebra that allow the spinal nerves to pass from the central canal out to the limbs or other parts of the body. When something causes the passageway to narrow or become blocked, there no longer is sufficient space for the nerve to function normally. When the nerve is compressed, it causes the symptoms that radiate out and cause a finger or toe to be numb, or for stabbing pain down the back of leg, etc., depending on which nerve is affected. The report indicates you have stenosis in the foramen at this level but it does not appear to be in the central canal.

Another cause of nerve compression can result from a disc herniation or protrusion, as is the case here. The disc located between the L5 and S1 vertebrae is pushing out of the disc space and is displacing the S1 spinal nerve. It appears that there is a tear in the outer layer of this disc, which is allowing this to happen. Because it is located in the para central region of the disc space, this usually means that the person will feel pain on both sides and in the center of the spine. With this type of issue, the person often feels sciatic-type pain that runs down the back of the leg. There may also be pain in the buttocks, pelvis and groin area, running down the back of the leg and into the outer side of foot,into little toe. Pain may be numbing, aching, sharp, jabbing, "electrical," etc.

When you go to an ortho spine or neuro surgeon, the results of the MRI will be correlated with the findings from a physical exam, a basic neurological exam and from listening to your report of your symptoms and how they impact your day to day living. Then a plan for conservative treatment will be devised and implemented before there is any discussion for the need for surgery.

 
Old 05-28-2014, 07:07 PM   #4
kidzbkidz
Newbie
(female)
 
Join Date: May 2014
Posts: 3
kidzbkidz HB User
Re: I NEED HELP with my MRI findings...

I really appreciate your info and advice. Thanks again!

 
The Following User Says Thank You to kidzbkidz For This Useful Post:
teteri66 (05-29-2014)
Old 05-28-2014, 07:14 PM   #5
kidzbkidz
Newbie
(female)
 
Join Date: May 2014
Posts: 3
kidzbkidz HB User
Re: I NEED HELP with my MRI findings...

You have been very helpful! Thank you so much for your time and suggestions. I hope that I can get into a neurosurgeon sooner than a neurologist. Thank you once again!

 
Old 05-29-2014, 08:20 AM   #6
teteri66
Senior Veteran
(female)
 
Join Date: Nov 2010
Location: USA
Posts: 8,873
teteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB Userteteri66 HB User
Re: I NEED HELP with my MRI findings...

Don't overlook consulting with an orthopedic spine surgeon. The important thing is that the practice is limited to the neck and back. Same thing is true for the neurosurgeon. You do not want to go to one who prefers doing brain surgery.

 
Closed Thread

Tags
back lower spine, disc, herniated disc, mri, spine injury



Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is Off
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 09:45 PM.





Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!