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MRI results

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:33 AM in New Member Introductions
I'm new to the site and wonder if anyone can help me interpet MRI. I have back and left leg pain. I had a plif done in 2006 on l5 and s1. I am only 28 years old and hope I don't need another surgery but I am in a lot of pain. I have tried an epidural shot and I still have leg pain.

Disk space narrowing and desiccation at l4-5 with minimal retrolisthesis. Mild broad base posterior disk buldge/protrusion with small central annular tear which indents ventral thecal sac.there is mild facet arthrosis. L5-s1 partial fusion. I

have talked to a spine specialist over the phone who thinks my pain is from piriformis syndrome but pain managment doc says it is the leaking disc. I am upset that spine specialist would not talk to me in person . Should I get second opinion from neurosurgeon.



  • Is your Surgeon not willing to see you? I would certainly get a second opinion from another Dr. I have a herniated disc and annular tear at the same area as well as mild facet joint arthritis due to the herniation. I'm told I'm not a candidate for surgery by 2 Drs so my 3rd opinion is in October by a NeuroSurgeon. The Lyrica and ms contin and muscle relaxants have helped the leg pain as well as the epidurals. I've started taking cymbalta which is helping also. www.chirogeek.com is a good reference for some terms on your MRI since we can't really read MRIs. Take care and wish you less pain days. 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
  • I can't tell from the way the report is written, but have you been told you have an incomplete fusion? If that is the case, it could certainly be the source of your pain.

    Is the spine specialist you refer to the surgeon who operated on you? Who ordered the MRI?

    If your surgeon will not see you, I would think you have no choice but to find someone else for a consultation. I must say, I have never heard of that.
  • hi and welcome to the forum! :H we are here to offer you support and answer what questions we can. so glad you stopped by. =D> now you need to stop by a doctor's office and more than one is a great idea!! :D they can best tell you the results!! =D> good luck and keep us informed!! :D Jenny :)
  • I'm waiting to hear from surgeon who performed my fusion. My primary doctor was the one who referred me to this new doctor. He basically told me over the phone that another surgery would do more harm than good because I'm so young. On MRI it says fusion at l5-s1 with what appears to be a partial bony fusion across disk space. My surgeon said my fusion was solid at my post op appointments. So I thought the surgery was successfull but then the pain came back a year after surgery. I still can't believe that surgeon called me over the phone instead of seeing me in person cause I got a lot of questions about my MRI. Do you think my MRI findings our worth an appointment with a surgeon?

  • I am still a bit confused, but regardless, since you state the pain returned after a year, it is probably time to consult with a spinal surgeon...either the one who performed the surgery or start over with a new specialist.

    If I understand you correctly, it was the new specialist, who your primary doctor referred you to, who looked at the new MRI and said he would not perform more surgery on you....It would seem that the new surgeon does not want to become involved in your case because the fusion surgery has already been performed; he does not perform "revisions," and there is no other surgery that would help your pain. Did he give you another option, like an interventional pain management doctor referral?

    You might want to try finding a new spinal specialist on your own, take the new MRI to him/her and go from there.
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