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My MRI Report

I am a new member of this forum. I am 25/F. I have been having lower back pain since 1year and been doing regular exercises and managing. for the past 1 week , pain is severe and radiating to both my legs (previously only left leg for about 6 months time)that i feel so weak to walk even for 10 min :( I went for an MRI. I need some help in understanding my MRI report before I meet my Neurosurgeon tomorrow.

Report says :
"Central - para Central disc bulge (L3-L4, L4-L5, L5-S1) noted causing anterior thecal sac indentation and bilateral neural foraminae narrowing with significant compression of exiting nerve roots"

1) What does this "anterior thecal sac indentation and bilateral neural foraminae narrowing " mean?
2) Is surgery the only way for cure? :( I am so scared about this .
3) What are all the questions that I should ask my neurosurgeon ?

Petrified :(


  • First off, Welcome to Spine Health!!

    We are not allowed to interpolate another members MRI, as none of us are doctors. I can answer some of your basic questions though, but your NS will need to decide based on exams and other diagnostics what your status is?

    Anterior (means front) of the thecal sac (membrane protecting your cord). The thecal sac is being modified (indented) but no mention of nerve or cord affect.

    "foraminae narrowing with significant compression of exiting nerve roots"

    The foramina is the opening on either side of the spine where the nerves exit. A lot of things can cause narrowing, but again, regardless of the MRI is "are you symptomatic" at that level? We can have good or bad MRI's and no problems, or all kinds of problems.

    Since you are seeing your NS tomorrow, hopefully he will be able to apply what is going on with you with your tests. Please let us know how it goes. Again, welcome aboard!!

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
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