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  • MRIs Done, what do the results mean?

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    Old 12-25-2017, 08:36 AM   #1
    NervePainSucks
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    MRIs Done, what do the results mean?

    Hello,

    I have been dealing with neuropathy from my knees down for the past two years. Last year this time I had two MRIs done, one of my head, the other of my lower back. This year at roughly the same point of time I had another round of MRIs done, one of my cervical spine and again of my lower back. I recently received my results and do not know what they mean.

    IMPRESSION:
    1. Grade 1 C3-4 retrolisthesis with disc osteophyte complex impinging on the right side of the cord. Mild to moderate narrowing of the left C3-4 neural foramina.
    2. Disc osteophyte complex at C5-6 with slight cord impingement. Mild to moderate narrowing of the right C5-6 neural foramina. Severe narrowing of the left C5-6 neural foramina.
    3. Disc osteophyte complexes at C6-7, C7-T1, and T1-2 without cord impingement. Mild narrowing of the right C6-7 and C7-T1 neural foramina.

    IMPRESSION:
    1. Grade 1 L1-2 retrolisthesis along with disc osteophyte complex with thecal sac impingement without significant change since December 23, 2016. Stable mild neural foraminal narrowing.
    2. Disc osteophyte complex at L3-4 with thecal sac impingement, without significant change. Stable mild neural foraminal narrowing.
    3. Disc osteophyte complex at L4-5 with thecal sac impingement, without significant change. Moderate to severe narrowing of the right L4-5 neural foramen has worsened since December 23, 2016. Mild to moderate left L4-5 neural foraminal narrowing is stable.
    4. Stable disc osteophyte complex at L5-S1 with thecal sac impingement.

    I'm on 1200mgs of Gabapentin and have been recently given a script to start Lyrica but am hesitant to start it after reading about possible undesirable side effects.

    Thank you

    Last edited by Administrator; 12-25-2017 at 09:19 AM.

     
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    Old 12-27-2017, 04:21 PM   #2
    teteri66
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    Re: MRIs Done, what do the results mean?

    Welcome to the board. I will start by explaining a few basic terms, so, hopefully, in the future you will be able to better understand the language of the MRI.

    If you aren't familiar with spinal anatomy, I would suggest you look online for some good illustrations so you will better understand the basic terms...vertebrae, disc, facet joint...and then the central canal, which contains the spinal cord or the bundle of nerves called the "cauda equina" if below the termination point of the spinal cord...usually at L1.

    Retrolisthesis is a type of spondylolisthesis--which is a condition when one vertebra slips over the top of the adjacent vertebra. It can create some instability in the segment of the spine that is affected. It can also result in pain and or radiculopathy or shooting nerve pain, tingling and even numbness if a spinal nerve gets caught up in the slippage.

    An osteophyte is a small bone spur. Disc osteophyte complex is when there is a bone spur growing on more than one vertebral body, accompanied by a bulging disc.

    When you see the term "narrowing," it is referring to stenosis. There are two places in the spinal area where stenosis occurs. One is in the central canal and the other is in the neural foramina. The foramen is an opening located at each vertebral level that allows the spinal nerve to exist the spine and go out to the part of the body it innervates. When the opening becomes blocked by things like a bone spur or a bulging disc, there is less space for the nerve to function normally. This results in nerve compression and the associated symptoms.

    There are specific words used by radiologists to describe the degree of " how much" something is. They are: minimal, mild, moderate and severe. Generally speaking, you don't need to pay too much attention when something is minimal or mild...but sometimes with moderate and definitely with severe, you should see a spine specialist.

    So...in the cervical area there are some degenerative changes going on. At C3-4, there is a bit of impingement on the spinal cord on the right side. Mild to moderate stenosis in the foraminal opening on the left side.

    At C5-6 the disc osteophyte complex is slightly pushing into the spinal cord. Mild to moderate stenosis in the right where the stenosis or narrowing has progressed to severe on the right side.

    "Stable" means the condition has remained the same as it was at the time of the previous MRI. The only new finding is the increased stenosis in the right foramen at L4-5...which is now judged to be severe.

    Are you currently seeing either a fellowship-trained orthopedic spine surgeon or neurosurgeon?

    Were you told to take Lyrica in addition to gabapentin?

     
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