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Lower Back S1 joint and nerve pain.

Emilybc123EEmilybc123 Posts: 1
edited 10/07/2015 - 4:47 AM in Lower Back Pain
I had an MRI due to severe back, buttocks , pelvis and leg pain. Here is the findings on my MRI can anyone explain to me in Laymens terms. Is this I hands googled some verbiage and what I'm getting from it is that I have disease in those lower joints as well as some compressed nerves. I came to this forum as my doc says non of these findings would cause me pain. If so then why am I experiencing pain. I would be so appreciative if anyone can help me interpret this MRI report. Or anyone that experiences this type of pain. I was in a bad car accident 5 years ago while I was 31 weeks pregnant. Ever since then I've had back pain but in the last 3 months it has gotten significantly worse and debilitating. I'm starting to think it's all in my head as my doc says there is no significant findings in the report. Is she not telling me what really is going on our is she in fact accurate and this is a "normal"MRI? Thank you so much!

L4-L5: mild to moderate facet arthropathy. Slight lateral recess impingement changes left greater than right.
L5-S1 mild/moderate facet arthropathy. Transiting and exiting nerve root are well maintained
Facet arthropathy of a mild to moderate degree at both the L4-L5 and L5 S-1 levels. Mild lateral recess impingement changes at the L4-L5 level resulting in mild impingement of the transiting L5 nerve roots left is greater than right.

Welcome to Spine-Health

One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

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, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.

Here are some questions that you should answer:

  • - When did this first start?

    . Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)

  • . Which doctor did you start with? Ie Primary Care Physician
    . Who are you currently seeing?
- What Conservative treatments have you had? Which ones?

  • . Physical Therapy
    . Ultrasound / Tens unit
    . Spinal Injections
    . Acupuncture
    . Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)

  • . Summarize the results, please do not post all details, we cannot analyze them
    . How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)

  • . Name of Medication
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- 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.

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I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ There you will find much information that will

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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)
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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 it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s 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 :

Personal Opinion, not medical advice :

--- Ron DiLauro, Spine-Health System Moderator : 10/07/15 10:47 est



  • SavageSavage United StatesPosts: 5,427
    edited 10/07/2015 - 5:19 AM
    My primary care doctor worked with my chronic pain a couple of years before referring me to pain management doctor.

    That was best thing for me! He did variety of other testing. The EMG was most revealing in my case and revealed issues not previously noted.
    Spine-Health Moderator
    Please read my medical history at: Medical History

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