Hello, I am new here. I am 42 y/o male, otherwise healthy, always fit. I have had 2 lower back surgeries: minor diskectomy Oct 00 on L4-5, L5-S1. Nov 05 I had a fusion same area. August 08, I lifted someone on a stretcher (contractor overseas) and hurt my back. I tried to just rest it, as I was home from Sep-mid Dec. I went to a neurologist for MRIin early December and then deployed again. I just got home 3 days ago and saw the neurologist today. He wants to send me to Duke to their neurologists. He said that some of my symptoms (way I walk, scratch test under feet, leg pain) cannot all be explained by what the latest MRI says. He says there maybe a disease or something else. He has ordered me not to return to work until further notice. Maybe I am a little paranoid, but was that his way of saying he didn't believe me about the pain?
Here is what the MRI said. Can this cause chronic pain in the back?
MRI lumbar spine
Multiplanar multi echo pulse sequences are obtained in the lumbar region before and after intravenous gadolinium administration. There are no prior MRI studies of the lumbar region..
There are postoperative changes of bilateral pedicle screw fixation and interbody fusion fixation in the lower lumbar spine from L4 through S1 with the S1 segment appearing lumbarized. There is interspace narrowing at those levels. No evidence of anterolisthesis is appreciated and no vertebral compression is identified. Metallic artifact somewhat obscures foraminal detail at L3-4. The conus ends at L2. No definite enhancement is appreciated to suggest epidural or perineural scarring.
At L1-2, no abnormality is identified.
At L2-3, no abnormality is appreciated.
At L3-4, there is mild facet hypertrophy and mild broad-based disc bulging with minimal central and bilateral foraminal narrowing.
At L4-5, there are findings suggesting broad-based disc bulging causing distortion and narrowing of the right neural foramen and effacement of the ventral aspect of the thecal sac toward the right at this level.
At L5-S1, there is minimal right paracentral disk bulging causing mild right foraminal narrowing.
L4-5 broad-based disc bulging/protrusion causing right frontal narrowing and thecal sac distortion. Lesser right paracentral disc bulging with mild right foraminal narrowing. Status post L4 through S1 pedicle screw fixation and laminectomy.
THANKS FOR ANY INPUT!!! Hate to be a complainer. But I have been a soldier/contractor for almost 25 years, 20 in special operations, 600 parachute jumps and never let anyone carry my load. Now my back hurts all the time, and I just don't like the idea of someone thinking I am making this up. PLEASE HELP