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Diagnosis and treatment ?

mallon20mmallon20 Posts: 1
edited 06/11/2012 - 8:43 AM in New Member Introductions
Hi all,
this is my first posting here and am hoping for some clarity as to my condition and any possible treatment. I am a 46yr old male, have had problems with my back on and off since I was twenty, current problem stems from an incident when I hurt my back in December last year, 'conservative treatment' did not work, I am 3 weeks post lumbar/sacral MRI but still to be seen by referring surgeon re the results. Results were, mild reduction of bone marrow signal on T1-weighted imaging, correlation with haematological indices is advised; degenerative changes of lower lumbar and lower thoracic discs; multilevel end-plate changes present with Schmorl's nodes; bilateral exit foraminal narrowing at L5, more marked on left side where there is probable impingement of the exiting L5 nerve root;T11/12 broad-based disc bulge indents the theca and causes mild canal stenosis; T12-L1 broad-based disc bulge indents the theca and causes mild canal stenosis; L4/L5 large right paracentral disc extrusion demonstrates 22mm of inferior migration, it is causing moderate canal stenosis and complete stenosis of the right lateral recess with impingement of the traversing right L5 and S1 nerve roots; L5/S1 broad-based disc bulge contacts the traversing S1 nerve roots without impingement. Conclusion..., Thoracolumbar spondylosis. Large L4/L5 disc extrusion with neural impingement as described. Correlate haematological indices.
Well there you go, all as clear as mud LOL. Any help would be appreciated re what you think this surgeon might be advising when I meet him and ? what I should be asking him. I currently take 75mgs Lyrica and 100mgs Tramadol both twice daily, have weaned myself down to this level and whilst I am not pain free I am able to function at a level where I can hold down a responsible job and basically get on with life until I am offered some treatment. Please feel free to advise and I thank you in advance of any advice offered.


  • Forum rules prohibit members from trying to make sense out of the MRI report, as we do not have formal medical training. I'm afraid you'll have to wait a bit longer until you see your doctor to really learn what's going on.

    Have you found the area of this website that offers excellent articles and videos put together by those in the medical profession? You might want to read through some of the things that pertain to your report. You can get a very generalized idea of what the terms mean, and then you will better understand the terms when your doctor explains it to you.

    You might want to start with spinal anatomy. You'll note the numbers in your report refer to the level of the spine where something is going on worth noting in the report. T refers to the thoracic vertebrae, L refers to lumbar (and C is cervical). When there is a herniated disc at L4-5, it refers to the disc located between the lumbar 4th and 5th vertebrae. You'll notice that it says that this disc "extrusion"
    is causing stenosis. Here is a link to information about that topic: http://www.spine-health.com/video/video-spinal-stenosis-causing-my-leg-pain

    And here is a link to disc problems: http://www.spine-health.com/conditions/herniated-disc/whats-a-herniated-disc-pinched-nerve-bulging-disc

    It looks like you have a couple issues going on. It is always a good idea to learn as much as you can about the issues that concern you and your back. This way you will be better able to understand what your doctor is explaining to you and you will be better able to communicate with him.

    There is also a glossary that helps when you want to look up a term you are not familiar with. http://www.spine-health.com/glossary

    Sorry we aren't able to offer specific help, in this case. When you have questions about a particular issue, members are able to share their experiences with you.

    Please let us know what your doctor advises.

  • I have had an X-Ray and an MRI, and each doctor has dignosed me differently. In fact most of the times they have conflicting diagnoses, where theyll say the other doctor is wrong because of XY and Z and their right because of AB and C and vice versa.

    Furthermore many doctors have conflicting ideas about treatment options, even if they agree on the diagnoses. Some insist on getting me injections, some are thouroughly against it, some say pain managment are narcotics are the only option, others are extremely fearful and strongly against Painkillers.

    My advise would be to establish a relationship with a PCP that understands your pain and how it affects your life. I really like my PCP and its really releiving just knowing someone believes you and understands what your going through. have your PCP handle your meds any scans you need. Then go see the specialists for the diagnoses and specialty treatments. In my experience these people will not truly understand your pain, and its harder to build a relationship with these people. They see dozens of people a day who say the exact same thing as you do and generally arent as sympathisizing. But they are much more specialized and can assist with diagnoses and a wide variety of back treatments.
  • 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... your doctor is the best person to help you with your MRI report. be patient, you will see him soon!! in the meantime, meet some new friends here on the forum, learn more about your condition and relax!! :D stop by anytime! good luck to you! Jenny :)
  • Welcome. Hopefully by now you have seen your doctor. If not soon. Either way you need to start a log of your symptoms. Treatment is usually based on symptoms. The old saying "if it ain't broke don't fix it" applies here. Only if the problem could cause permanent damage would they operate on a non-symtomatic problem.

    So start a log of date, time, activity, pain, treatment & results. This will help you recognize patterns and help your doctor figure out what to do. You have alot of stuff on that MRI but only a little piece is probably causing you problems.

    By the way what type of doctor are you seeing?
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