Would love to hear comments about the following results. I am told I need fusion. But I'm scared of the long recovery after being in pain for so long. I am aware that one surgery may lead to another and I may continue to be in pain. I never had back issues before this. I was involved in a 3 car accident being rear ended on the highway. I was in pain initially, but only a back sprain. Within 3 months I was barely able to walk. Since last year, I have been unable to walk more than a block without a wheelchair and I use a cane to get around. I am on the heavy side, which concerns me for recovery. I have tried to work on it, but it's hard not being able to exercise like I want being in so much pain.
In November 2012- an XRAY of the lumbar spine showed 5mm grade 1 spondolythesis at l5 on s1. There are small osteophytes noted at t12-l1 and l1-l2.
In December 2012, MRI of the Lumbar showed the following:
L3-L4, L2-L3, L1-L2- no significant disc protrusion or formanial stenosis.
L4-L5- There is moderate facet arthritis seen. Mild to moderate bilateral neural foraminal narrowing is seen due to disc bulge, facet disease= and ligamentum flavum thickening.
L5-S1- Moderate to severe facet arthritis seen. Broad based disc bulge effaces the ventral aspect of the thecal sac. Disc dissecation is seen. Mild bilateral neural foraminal narrowing is seen to due to disc bulge, facet disease and ligamentum flavum thickening. Disc dissecation is seen. Mild bilateral neural foraminal narrowing is seen to due to disc bulge, facet disease and ligamentum flavum thickening.
Spondolytic changes of the lumbar spine at l4-L5 where is disc bulge formation and acting in concert with facet disease and ligamentum flavum thickening to lead to mild-moderate neural foraminal narrowing at L4-L5.
2. There is subtle anterolisthesis of L5-S1 due to facet arthropathy.
3. No acute lumbar compression fracture deformity, or abnormal fluid collection or mass collection with the lumbar spine canal is appreciated.
In May 2013, I had at CT scan of the lumbar:
L1-L2, L2-L3, and L3-L4- mild hypertrophic facets and ligamentum flavum. Possible minor disc bulge. No significant spinal stenosis.
L4-L5- Disc bulge and mild hypertrophic facets and ligamentum flavum. These produce bilateral moderate foraminal stenosis. Central canal is borderline in size.
L5-S1- Promninent disko-osteophytic bulge and extensive bilateral vacuum facet arthopathy. These produce mild central and severe bilateral formainal stenosis, worse on the right.
Impression: Lumbosacral degenerative disc disease and worse in the lower lumbar spine.
2. Disc bulge and hypertrophic arthropathy at l4-l5 and l5-s1.
Resultant moderate bilateral formaninal stenosis at l4-l5, and mild central and severe bilateral foraminal stenosis at l5-s1.
In October of 2013, I had an MRI.
l1-l2, l2-l3, l3-l4- Minor disc bulge. Hypertrophic facets and ligamentum flavum. No significant spinal stenosis.
l4-l5- Disc bulge with a mild left foraminal disc protrusion. Borderline right and mild left foraminal stenosis.
l5-s1- Substantial hypertophic facets. MInor disc bulge. These produce bilateral moderate foraminal stenosis, worse on the right.
1. Lumbosacral degenerative disc disease.
2. Disc bulge with a mild left foraminal disc protrusion at l4-l5. Mild left foraminal stenosis.
3. Hypertrophic arthropathy and a minimal disc bulge at l5-s1. Bilateral moderate foraminal stenosis.
I had an EMG done in January 2013, which showed acute denervation in left mid lumbar roots and acute left lumbar radiculopathy mainly l4-l5.
The best treatment that helped me the most was a nerve block to S1. That calmed down the nerve and the nerve pain lessened from 7-8 to 4-5.