Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Can you help me understand my mri?

hihowdyhhihowdy Posts: 1
Hello! Thanks for reading this. I'm 35 yr old just had my 4th baby in October. Beginning in January sciatica symptoms began. Gotten worse over time and after inconclusive X-ray got an mri. This is what is said. I will go to the doctor but wanted to understand it now :)

L4/L5 central/right para central disc extrusion measuring 7mm in AP dimension 11 mm in transverse dimension and 14 mm in cc dimension which is causing marked narrowing of the right lateral recess and compression of the exiting right L 5 nerve. This is also causing mild/moderate central canal narrowing. Mild narrowing of the neural foramen. Mild facet osteoarthritis.

L5/S1 2.5 mm right para central disc protrusion with early narrowing of the right lateral recess and mild contact of the exiting right s1 nerve. No central narrowing. Patent neural foramen.

I read ruptured disc and then bulging disc with some arthritis thrown in??? I'm nursing my baby so am only taking ibrouprofen. I'm in extreme amounts of pain most mornings for 1-2 hours and then it subsides if I keep moving. But as soon as a lay down to nurse the baby I start back over again.

I have tried physical therapy ( think it made it worse.) and chiropractor. As well as lots of stretching. Where do I go from here? Will get a referral to a spine specialist but don't know what to ask for? Neuro? Ortho? Is this a large extrusion? Is surgery inevitable? Thanks for all your help. I'm scared.

Welcome to Spine-Health

It would be very helpful if you could provide us with more details. So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong,

Here are some questions that you should answer:

  • - When did this first start?
    - Was it the result of an accident or trauma?
    - What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
    - What Conservative treatments have you had? Which ones?
    - What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
    - What medications are you currently using? (details, dosage, frequency, etc)
    - Has surgery been discussed as an option? (If so, what kind)
    - Is there any nerve pain/damage associated?
    - What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide

  • - Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
    - Medical advice of any kind
    - Recommendations in terms of Medications, Treatments, Exercises, etc

What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.

It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are
I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways its like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then its up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.

Specific comments :

Once you have been identified with a spinal disc problem, you should never go see a chiropractor. They are not trained to deal with the spinal cord. If fact, they
could potentially do more harm. They may be a few chiropractors that are properly trained in this area, but that is not the norm.

There are no medical professionals here, so we cant give you any formal advice. Just the words herniated/bulging/ruptured disc scare people. There are many
degrees of a disc problem. While as I said no one can read MRI reports here, over the years, there are always the key words
Those are the words you always look for and based on the meaning of those words, generally any action plan to correct the situation would apply

Personal Opinion, not medical advice :

You did answer a number of questions we suggest, however, if you would give us more detail, that would be helpful

--- Ron DiLauro, Spine-Health System Moderator : 04/29/30 09:11 est


  • HurtingolferHHurtingolfer Posts: 4
    edited 04/29/2015 - 9:14 AM
    L4-L5 disc herniation 6mmX10cmX10cm with severe compression of L5 for 5 weeks w. Physical therapy made it worse. Got 1 epidural shot. Fortunately for me, low back and leg pain resolvedd. All I have is tingling numbness when I walk around. I did meet a neurosurgeon and he recommended microdiscectomy as a sure way to improve symptoms but long term, surgery or no surgery does not make any difference. Since I am not very symptomatic anymore, I have chosen to wait it out.

    In your case, symptoms seem to be related to L4-5 disc extrusion. If symptoms re no better after 3 months, surgery may be offered to you. Mild facet osteoarthritis is likely a red herring. The severity of herniation is likely moderate in size (My herniation was decribed as moderate). Extruded hernias do tend to resolve spontaneously (upto 70% of them resorb significantly in a year)- can take up to a year or more sometimes. The only advantage of surgery is immediate relief of symptoms but even the most minimallly invasive surgery means no working for a month and 5-15% risk of herniation in the future.

    5.06 You agree not to post information that is considered to be formal medical advice.
    Please do not continue to do so......... Ron DiLauro, Spine-Health System Moderator 04/29/15
  • fruborgdyffruborgdy Posts: 1
    edited 05/01/2015 - 2:51 AM
    I see lots of hope with the words mild and moderate scattered through-out your mri report. My last report says the word "severe" peppered throughout. In the beginning herniated and bulging discs can self heal/correct within a few months -although they can form scars afterwards. You may also be having your first bout of sciatic nerve pinching causing much of the pain. Discs themselves don't cause pain but its the fluid in the center of the discs leaking on nerves that cause the corrosive pain. One doctor told me that the fluid isn't supposed to come near the nerves and they become inflammed and pinched. You probably already know that heat and cold therapy for any inflammation of the area, n-saids when needed and a course of steroid treatment either oral or injection will encapsulate the inflammation which is also the source of the pain. Mild osteoarthritis is actually typical by mid 30s. Remember only a century or so ago humans were considered heading into their golden years by their mid to late 30s. I started having disc probs in my mid 30s and they were pretty asymptomatic for almost 20 years (other than a back ache now and then if I overworked). I've been an infant and preschool teacher for over 30 years carrying babies, strollers, moving cribs... And then housework at home and my love for hiking, biking, ice skating. By my late 40s several incidents including being rear-ended while driving an old car; caregiving a partially paralyzed family member began to take a tremendous toll on my spine.

    Now I've severe oa in my spine in three areas, never-ending sciatica/radiculopathic pain and degenerative disc disease with pancaked discs in both my cervical and lumbar/sacral areas at only 58 years old. I haven't gone a day with out high level pain in 6 years. If I could talk to myself at 35, I'd tell myself to: lose weight and keep my weight at normal level, develop a solid abdominal core. Strong core muscles support the spine and keep the spine/joints/discs in place. Especially after c-section childbirths and in my case and a hysterectomy, we women must keep our core strengthened after surgery has damaged those ab muscles -especially the lower ab muscle exercises. Swim more and do water-cize activities. The water is easy on our joints and water massage just feels great. Walk and move even more. It feels counterintuitive when I struggle with the back pain but arthritis only gets worse when we sit still and don't stretch and move. Use physical therapy stretches that work well for spine health. When I did exercise and do weight training my form was off and actually it caused more pain and inflammation. I'd tell myself to eat more anti-inflammatory foods and less starchy white stuff too. And slow down, relax. Stress has a great impact on pain management. It's normal and healthy to have some stress in our life but so much of it is just nonsensical anxieties and work-related stressors. I'd have said "no" to the crazy making people in my life much sooner. What's made a great impact on my life these past two years has been tossing the smartphone out and I stopped the twitter/FB crap. I only use social media on the weekends to check-in for one hour only - one hour a week. Instead I try to meditate, read a book again, try hobbies again. And you have built in fun with your babies. Most of all I'd remind myself to continually count my blessings. I have cervical/neck disc arthritis and pinched nerves . Causes my left shoulder, elbow constant pain and numbness, nerve pain and weakness in my fingers and hand. It's not until you start to experience disabilities that you begin to understand the wonderful blessing of being pain free and fully functioning. And yet I still have it so much better than many others whose pain is even greater. I keep moving and doing my best to slow this disease down. Can I add - make sure you're practicing really good lifting practices. Bending the knees, strengthening your abs, breathing properly etc... when lifting your kids. I went back to being an infant teacher at 49 -53 and lifting 8, 30 pound people onto the diaper table and comforting their tears etc... and I didn't use proper lifting form either. That was the final straw. Now I can't safely lift more than about 15 lbs. As a mom and caregiver be very careful when lifting weights. wishing you the best...

    Post edited - 5.06 You agree not to post information that is considered to be formal medical advice.
    Please read our forum rules so that you understand what can and can not be posted... Thank you ..... Ron DiLauro, Spine-Health System Moderator
Sign In or Register to comment.