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MRI result question

D.G.DD.G. Posts: 14
edited 06/11/2012 - 9:02 AM in Back Surgery and Neck Surgery
I need someone to tell me if this result is serious or not.I have a neuro and a PM doctor but this happened on the weekend and my neuro hasnt even returned a phone call for seven days. And my PM said follow up with neuro, both are 35 miles away and neuro is hard to get in office for appointment. I had MRI at a local clinic and only have report of MRI to look over and I am hurting worse than before this injury. I am now having nerve pain on the left as well as the right. Called the neuro office after 4 days from first call and was told my name "is on PA's desk but she hasnt gotten to me yet." This is frustrating and makes me wonder if I want a surgeon to operate on me if they can't return a call in 7 days or less...
Anyways, the MRI reads as follows,
Normal alignment of vertebral bodies. There has been a partial right laminectomy at L5. AT L5-5, there is a focal area of increased intensity within the posterior aspect of intervetebral disc. This is consistent with annular tear. mild broad based bulging of the intervetebral disc hypertrophied ligamentum flavum. This narrows the spinal canal. At L5-S1, there is a right paracentral herniation which compresses the thecal sac and narrows the neural foramina. The disc fragment measures 9x10x13mm. Spinal cord is normal in size and signal intensity. No abdominal enhancement seen on post-contrast images.
I just had a discography in march and was positive for L5 and went to neuro but no call back for a week when I told them I hurt my back again and needed appointment they told my wife they couldnt see me anytime soon, bad sign. So in my small town choices are limited as are my time. So now I will see a back specialist ortho pretty quick and will have to choose from a fusion or artificial disc. I would like to try another laminectomy to see if it helps, I am only 32 and I would like nothing more than to be normal again and off the medication. Which is neurontin 400mg TID, Flexiril 10mg BID, oxycodone 10mg BID and oxycontin 10mg TID. This provided minimal relief and now provides no none. I am going to PM on 15th with hopes he will consider perscribing more relief.
Is a laminectomy worth a try or what? I do understand the support offered here is just advice. Any is appreciated and I will not hold you responsible. Thanks for reading.


  • I can't help you on the meaning of your MRI as its not allowed here.

    If a surgeon/office/PA did that to me he would be history. All you need is to operated on and have something slightly go wrong and you most likely would never hear from them.

    From what you show on this post I will say it is time for you to make some lifestyle changes to protect your back. It looks like you keep hurting the same level and that is not good. I know your young but your back is telling you that it isn't up to the task you seem to be asking of it. I don't know what your surgeons have told you about going back to what you were doing but it looks like either you have not given your back time to heal or your not going to be able to continue on doing whatever it is that you do. JMO
  • Ahh thanks for that Bkins,
    I didnt realize that was a no no here. Thank you so much for the feedback.

    I agree something has to give in this situation. I have been recommended for fusion about a month back and had been trying to avoid it. Seems I cannot ignore reality anymore. My lifestyle is not that rough actually I care for my four year old son and handle the house. But since I was 16 or 17 kitchens were my life, until the gulf spill, we worked harder than most people know, sometimes 17 or 18 hours a day of constant manual labor. Thats when the back flared up and I ignored it because it had not been an issue since my car accidents(1999,hit by drunk head on,2004,fell asleep and hit telephone poll). So since the oil spill I am a stay at home father. If you've ever seen Mr. Mom, it's a version of that. But I do want to get back to work soon, I go stir crazy here. I plan on rehabing to the fullest and to go back to school and finish. I'm done with kitchens and resturants,(wish I didn't spend all that money on culinary school but whatever) I'd be happy with a boring old desk job.

    I have a family friend at the hospital here and he got me in this morning with a spine specialist. I spent literally 2 hours with him discussing this issuse of the extrusion and my history and what would be my best option. his advice was a laminectomy would'nt do any good and then with my present scar tissuse, 1 surgery for revision of laminectomy and tlif fusion, is better than 2 seperate surgeries getting cut open. He disagreed with the moderate ddd on l5-s1 and said it is really bad off. That fusion is most probably in my future. So... next Tuesday am I am having the procedure with the hope less pain post-op.

    This has been rolling around in my head since my PM said the disc was really going to be an issue and I've done a ton of research on the subject. I've had a neurosurgeon look at me and he also said that a fusion is his recommendation as well. With the doc(ortho back specalist) today that makes 3 opinions on the matter. With my mother it's 4 yes for the fusion. Olny thing that might suck is continued pain post-op in which case he said I will probably be on medication long-term. I want to be off them but honestly they are the only real relief I've got. At this point I'm giving it to God and a confident surgeon.
  • Good luck on your operation. That is very quick scheduling to get you in that quickly. You should do OK as long as you do what your DR. says and remember to protect your back. It will become much hardwer to do once you start feeling better after your fusion.

    What kind of cooking did you do? I guess you were on your feet a lot?
  • Have similar lower back issues, not yet resigned to surgery, still get some relief with injections.
    I also went to culinary school after 20+ years in Navy. While in school realized just how bad my back was and as much as I like cooking, it would kill me. Now I have a desk job which is just as bad for the back, but what are you going to do....
    Saying a prayer that your get the relief you are looking for and can get back to your life.
    laminectomy c4/c5 2008, ACDF c4-c7 Jan 20 2014 sched
  • Hello,
    Cooking can be very rough on the back contrary to what people may think. It is not standing there with everything prepared for you like Rachel Ray. Thank you for the prayers and good wishes. The doc did want to move fast and get the extruded part out before it moved around and also to relieve the nerve. He actually seemed to be a very concerned doctor and if you have seen a few then you prov know that's uncommon.
    I will update and let y'all know how it goes. I am as prepaired as I can be and my family is putting out the The ralley call and I'm getting a lot of support. I am scared as hell but I really wasn't getting better before my last injury. If anything ive done more damage by putting it off but my intention was to avoid surgery as long as possible, now by waiting my doctor is only saying he can get me back to how I was before last week. But I am hoping for more. Fingers crossed.

    Thanks guys
    PS I did any kind of cooking I was told to do, like a good cook should. Later I did any kind of cooking for the guy who dosent show up and the guy who was sick. You do what you have to in that industry just to survive.
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