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Ortho visit

ezraeezra Posts: 72
edited 06/11/2012 - 8:31 AM in Chronic Pain
Well I was finally able to get into Ortho. Thanks to them not explaining things fully before I was fully taken by surprise by the full results of my MRI.
L1-l2 has Mild degenerative facet hyertropy and DDD
L2-L3 Mild degenerative facet hyertropy and ligamentum flavum redundancy... I don't know what that second part means. Also Mild central stenosis
L3-L4 is the same as L2-L3
L4-L5 is prominent central disc herniation. With DFH and mild cenral stenosis and narrowing of the right lateral recess
L5-S1 is broad based central and right paracentral disc herniation, causes minimal posterior displacement of the S1 nerve Root.

Does anyone know what the ligamentum flavum redundancy means. I also don't know what Superior and inferior endplate Schmorl's nodes mean. It says that is from T11-T12 through L2-L3. I don't know if that is normal or not.

So the Dr. basically told me some people hurt and some people don't and that I need to get the ESI and physical therapy. Since I am pregnant I can't get the ESI so we are kind of at a stand still right now. I don't know where to go from here. My father thinks I should see a pain specialist since no one is giving me medication and I am to the point of having to walk with a cane so I don't fall down because my right leg is very weak. Anyways thanks for listening.


  • Basically what you are asking about is the anatomy of the vertebra. Each vertebra has a vertebral body which is like a round box that carries most of the weight borne by the spine. It has hard walls and a soft center of soft marrow. The top and bottom of this cylinder are called the end plates. Superior and inferior just refer to the location at the top or bottom (or, inward or outward, if you prefer!!)

    Schmorl's nodes are common, but they are also a sign of some degeneration or, at least "wear and tear." Sometimes they cause pain, but not always. They are protrusions of disk material (cartilage) that comes out of the disk and sticks on to the vertebral body, as I understand it. @) They can be detected with X-ray but are seen better on MRI or CT. They may or may not cause pain.

    The ligamentum flavum redundancy just means there is a little bit too much stretch in the ligamentum flavum -- which is a thick ligament that connects one vertebra to another. It has some stretch to it to accommodate movement of the spine, but sometimes there is a little too much.

    My guess is that it is the final thing that is causing you your difficulty in walking and your pain -- the bulging disk at L5-S1 that is pressing upon the S1 nerve root. If it is, there is probably no medication you can take while pregnant that will help with your nerve pain.

    Keep track of your symptoms though. If you should develop any symptoms with bladder or bowel involvement, call your doctor right away.

    It doesn't hurt to go to an interventional pain management doctor or a physiatrist. Either could help you and try to make you more comfortable.

    When is the baby due??

    xx Gwennie
  • Thank you very much. The baby is due Nov 10.
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