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Not sure if anyone knows... but wondering if any of this sounds serious... This is my MRI from last week...

Findings… Mild dextroconvex curvature of the lumbar vertebral column with apex at the L4 level.. Multilevel disc desiccation is seen. Loss of disc space and degenerative endplate change at the –L4- L5 level. Scattered endplate osteophytes are also noted. No abnormal cord signal.

At L2-3, there is disc bulging which flattens the ventral aspect of the thecal sac. Superimposed facet degenerative changes are seen. Mild canal narrowing at this level.
At L3- L4, there is disc bulging which flattens the ventral aspect of the thecal sac. Facet degenerative changes are seen. Mild canal narrowing at this level. Mild foraminal narrowing is also seen on the left. None on Right.
At L4 – L5, there is disc bulging which is slightly eccentric and more pronounced laterally and to the left midline, where there is associated endplate osteophyte. Disc material flattens the ventral thecal sac. There are superimposed facet degenerative changes and thickening of ligamentum flavum. Mild to moderate canal narrowing at this level. Mild to moderate foraminal narrowing is also seen on the left. None on right.
At L5-S1, there is disc bulging which abuts the ventra thecal sac. There are superimposed facet degenerative changes. No evidence of spinal canal stenosis, there is mild foraminal narrowing.

Impression… dextroconvex scolilsis of the lumbar spine, with associated multilevel degenerative change and disc bulging.

Had tried and done within past 5 yrs… monthly Chiropractic visits, epidural shots, PT, and most recently following meds…

Tramadol, Naproxen, Motrin 800, Muscle Relaxers, Norco, and Valium… May as well buy bag of skittles as NONE of this helps. Seeking to see a Ortho Dr this week and not just GP report.



  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • I would see a Neurosurgeon, not an Ortho/Spine surgeon. I am aware that ours spines are bones but anytime you are working that closely to the spinal cord and nerves, see a neurosurgeon. Ask any nurse and they will tell you that:)
  • dilaurodilauro ConnecticutPosts: 9,875
    edited 07/28/2014 - 3:15 AM
    And then based on your MRI report and images, what were their recommendations for you? Someone had been ordering the Physical therapy for you, the ESI, the prescription only medications?

    Reading your thread, I am assuming that you have not seen any specialist to date. There is nothing wrong with seeing an orthopedic surgeon to start with. Based on any findings they may or may not recommend seeing a neurosurgeon. Many folks here have stayed with their orthopedic surgeon for their spinal surgeries and did fine.

    Finally, since your MRI reports already show some problems, I would stay clear of Chiropractors. They are excellent when it comes to dealing with muscles, but when its spinal disc related,they could do more harm then good.

    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • You have only seen your general practitioner so far?

    Seeing an orthopedic doctor is probably your best bet. They are specifically trained in reading these types of MRIs. They're also good at translating the medical jargon to you in regular english so you can actually understand your results. If your back problem also relates to the nerves in your spinal cord, the doctor may refer you to a neurosurgeon. Either way, one of these specialists will be able to explain your results better than your gp or any of us.

    You just have to make sure you make an appointment with a reputable orthopedics or neurosurgery doctor.
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