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new to the site, need MRI HELP.....

greasyggreasy Posts: 19
I am new here and would like to run my MRI by you to see if anyone has similar scans. I will just give you the opinion.

At the S1 level there is a left paramedian and left posterolateral discophytic herniation. The herniated disc appears to be compressing upon the left L6-S1 thecal sac and there is encroachment of the left lateral recess possibly impinging upon the adjacent left S1 traversing nerve root.

My pain is prodominately in my left buttoch down through my hamstring and have some calf and foot pain. I cannot get my foot off the floor at all to do a calf raise.

I have 6 lumbar vertabrae i guess its a little rare. This has made a strong 38 year old man cry in the docters office when I took this to the max pain, without lying down. It increases so fast its really hard to believe unless you have had it. I hope someone can help me as I have been off work for 6 weeks and need to get back to provide for my family. Any help would be appreciated.
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Comments

  • I have a herniated disc with impingement on a nerve and leg pain and sciatica. There is also another member here who has a 6th lumber. Are you on sick leave? I hope you have a short term disability time. Everyone heals at different times and couldn't say how long you'll be off. Only your Dr. would be able to give you an idea. Have you been referred to the Neurologist or Orthopedic Dr. yet. Even a pain management Dr. can help. I hope you get some pain control and only you're Dr. can let you know where you go from here. Take care and we'll be here to support you. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • So you've got an MRI and diagnosis, what is the doctor doing for you? Is he giving you pain meds while you are awaiting treatment because it sure sounds like you need a bunch!

    I agree with Charry, you need a referral to a spine specialist, whether it be a neurosurgeon or orthopaedic spine surgeon. He might recommend conservative treatment like epidural steroid injections in your back, I don't know. I do know that if I were you, I would really want the specialist appointment. You have nerve symptoms and leg weakness, this isn't something you let your family doctor monkey around with.

    Please keep us posted on you situation.
  • Hey Charry, to answer some of your questions, i am on S+A benefits that are 60% of my wage, I see a nerologist on Feg 23/09, and I am on Lyrica 150mg twice daily, and a 25mcg Fentanyl patch. I would hate to know what it would it would feel like without this medication, as it still hurts alot.
  • I know it's painful. I've had to have my meds doubled in the past few weeks and I've been off work for almost 11 months. Even though the epidurals helped my leg pain about 80% the backpain hasn't gone away yet. I hope everything goes well for you we'll be here to support you. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Does anyone know what encroachment of the left lateral recess mean?
  • In very simple terms, you have a herniated disc -- part of the interior of the disc has bulged out from the disc space, in this case to the side (lateral recess). It is taking up space that is needed for the spinal nerve to exit that level of the spine. This herniation is pinching the S-I nerve root.

    The nerve is irritated and probably inflamed, and the pain you are feeling in your leg and foot is from this "pinching."

    I hope you are seeing a spinal specialist for your injury, and not just relying on a family doc or regular ortho. doctor. Regardless, conservative treatment will first be tried...things like physical therapy, perhaps a steroid pack, or NSAIDS to reduce inflammation. Sometimes an epidural steroid injection (ESI), often given in a trial of 3 shots spaced out over a number of weeks, will be recommended.

    In the meantime, be sure to use good body mechanics. Avoid any activities that involve bending or twisting, and try not to lift anything heavier than a gallon of milk. But don't give in to the temptation to just sit around. Keep up gentle exercise such as walking. You can try using ice or a heating pad about 15 minutes/hour. Some find one more comforting than the other. Experiment to see what feels better to you.

    While this condition is very painful, it is not dangerous. If you were to develop bowel or bladder involvement, or foot drop, you should call your doctor right away.

    Try to take it easy. A herniated disc requires a great deal of patience. Your doctor may want to give you a drug that will help with the nerve pain...something like neurontin or lyrica while your body attempts to heal itself.

  • dilaurodilauro ConnecticutPosts: 9,715
    1) Go see a specialist to make sure your situation is looked at. As others have pointed out, since you have the MRI report, now what are the doctors going to do in terms of treatments.

    2) Use this site to research different conditions regarding the spine and the various treatments.


    Members here can only provide their opinions based on personal experiences
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • okay thanks, this is just a ct scan result, I am still waiting for a MRI so this might show a better picture i think.
  • I know this is tough to experience, but at least they know what is wrong and there are many treatment options for you. Your best bet is to go the conservative way, meaning medications, PT, possible spinal injections, and trying out a tens unit for instance. If they start mentioning surgery, please don't jump into it right away. Back surgery is a 50/50 gamble and highly invasive. There's no 100% guarantee it will relieve all the pain. I'm a veteran of 2 back surgeries and I'm stuck with chronic back and nerve pain. I don't want to scare you, I want you to see the whole picture. The doctor hopes that the disc will heal on its own in 4-6 weeks with conservative treatment. However if there's bladder or bowel problems and progressive neurological deficits, surgery is needed right away.
    This won't be easy, and it will take a long time to heal. Once something like this happens, your back won't be exactly the same as before. But hopefully you can lead a normal life, but you must take good care of your back so you don't risk reinjury. There are success stories here, with or without surgery. Take care
  • Sorry I am having a pain day today so dont want to bother with the big words and spelling (I am well educated but never learnt to spell proper lol)

    From my research 5%-10% of herniations are lateral or far lateral herniations or in and beyond the intervertebral formanial zone (IVF). This can present a challenge to the Dr to treat and diagnose. The problem here is that the area houses the Dorsal root ganglions and squishing this can cause extreeme pain and varying symptoms for the person.
    I got alot of good info on reading MRI / CT scans and about different types of herniations at www.chirogeek.com it was valuable to the point where my first ortho Dr miss read my scans and Sx totally until I told him straight (I got him to refeer me to a better surgeon who fast tracked treatment to decompress my DRG due to severe broad based formanial stenosis) I am not a Dr but I am speaking from total experience. Best thing is to make sure you get the best Dr you can. Hope you are feeling better soon.
  • I am updating my situation for those it could help. Well I was all set for my microdiscectomy on April 15. I went to my pre admitting today and found out it is now a discectomy. Now i have to spend 2 days in the hospital and here i was thinking i was going home after surgery, damn. Is there that much difference in them to cause a hospital stay, not happy.

    Also my pain is pretty well gone, I just have weakness, can't do a calf raise, and have no reflex. Having second thoughts now, my strength probably won't come back after 2 years of being compressed. Guess I have a dilemma with no time to act, micro seemed so quick and easy recovery though.
  • There is a list of things you'll need after surgery here if you search post op in the blue box on the top screen I believe. I wish you all the best and hope you'll have someone to help you at home. Weakness is really determental and that's why the Docs are moving fast to help you. If you're getting a little anxious maybe your Dr can give you a med to relax you. I wish you all the best for your surgery and recovery. Hopefully there will always be some support here for you. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • But does pain go away when the nerve has been compressed for too long? and you may be still left with the reduced or no reflexes and weakness. My feeling is if that is the case then please let us know if you have a worsening of symptoms post surgery as i am wondering if that can happen (for my own experience)
    Good luck for surgery hope the easter bunny visits.

  • Well i finally went for my discectomy today and sorry to say but it still feels exactly the same. I had my appointment at 11:00am, and at 12:45 they came and told me there was an emergency and my surgery was cancelled. :jawdrop: X( :jawdrop: X(
  • Greasy
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Sorry to say it got cancelled like before charry, if you will, this time only waited a hour before they told me there was another emergency. Anyone ever heard of such a happening.
  • That is amazing. I have never heard of such a thing. Hang in there.
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