These are my MRI results...my doctor seemed really focused on the herniated disc and was talking about surgery. But I'm not even sure that's what's causing my symptoms, and neither is he. Very little leg pain if any at this point...mostly back pain and stiffness. What do I do?!
CLINICAL INDICATION: Chronic back pain for 6 years, now has pain in right leg
FINDINGS: Mild posterior loss of height in the L5 and L3 vertebral bodies, no edema to suggest acute or subacute component to the loss of height. Conus at the level of T12/L1 appears unremarkable. Visualized paraspinal soft tissues appear unremarkable.
Bilaterally symmetric mildly prominent S1 nerve root sheath complex exiting the anterior sacral foramen at S1/2.
L5/S1 mild disc bulge along with facet hypertrophic degenerative changes. Thecal sac is narrowed to 6 mm anterior posterior dimension by prominent epidural fat. Neural foramina are patent.
L4/5 large central disc extrusion, disc extends 9 mm above the level of the disc space and 4 mm below the disc space and measures 9 mm anterior posterior dimension. This results in severe central canal stenosis, anterior posterior dimension of the
remained thecal sac measures 5 mm. This is superimposed on a mild disc bulge. Facet hypertrophic degenerative changes are present. Mild narrowing bilateral neural foramina greater on the right.
L3/4 mild disc bulge along with facet hypertrophic degenerative changes. No central canal stenosis. Neural foramina are patent.
L2/3 minor disc bulge slightly asymmetric to the left. No central canal stenosis or neural foramina compromise.
L1/2 no disc herniation, central canal stenosis, or neural foramina compromise.
T12/L1 no disc herniation, central canal stenosis, or neural foramina compromise.
1. L4/5 large central disc extrusion resulting in severe central canal stenosis. Degenerative changes present to lesser degree at other levels. See above for description of findings at each level.
2. Bilaterally symmetric mildly prominent S1 nerve root sheath complex exiting the anterior sacral foramen at S1/2. Correlate for any symptoms referrable to this area. Recommend further evaluation with MRI sacrum without and with intravenous contrast to
exclude nerve sheath tumor. ____________________________________________________________________
No on one the Spine-Health patient forums is medically qualified to provide any advice or
or recommendations on any diagnostic test. However, the following key words can apply
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary
You need to get the answer to your question from your doctor(s)
-- Ron DiLauro, Spine-Health System Moderator