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My father was just given his MRI results and was told that his condition is severe, please help!

adil7aadil7 Posts: 1
edited 12/22/2015 - 7:46 PM in Lower Back Pain
He just came back from his physician and she told him that his back pain condition is severe and that he may need immediate treatment for it. The MRI results are below.

CLINICAL HISTORY

M47.16 Other spondylosis with myelopathy, lumbar region. Low back pain and right leg pain.

TECHNIQUE

Multiplanar, multisequence MRI of the lumbar spine was performed without intravenous contrast.

COMPARISON

None available.

MAGNETIC RESONANCE IMAGE FINDINGS

There are Modic type Il endplate changes at L5-S1. There are endplate osteophytes at L5-S1. Otherwise, the vertebral bodies of the lumbar spine are normal in height, alignment, and marrow signal characteristics without evidence of fracture, subluxation, compression deformity, or marrow replacing lesion. The conus medullary is terminated at Ll. The cauda equina is it is of normal morphology.

At T12-L1 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.
At L1-L2 there is no disc herniation or central canal stenosis, or neural foraminal narrowing.
At L2-L3 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.
At L3-L4 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.

At L4-L5 there is disc desiccation and mild loss of disc height. There is a large diffuse disc bulge. There is mild facet arthropathy. There is effacement of the thecal sac with mild central canal stenosis. There is moderate left and mild-to-moderate right neural foraminal narrowing.

At L5-S1 there is disc desiccation and loss of disc height. There is a large diffuse disc bulge with a central, left paracentral, and foraminal disc protrusion. There is mild facet arthropathy. There is effacement of the thecal sac with mild central canal stenosis. There is narrowing of the left lateral recess. There is mass effect on the left S1 nerve as seen on series 3 image 5. There is moderate right and severe left neural foraminal narrowing.

INTERPRETATION

1. Large central, left paracentral, and foraminal disc protrusion at L5-S1. This causes narrowing of the left lateral recess and mass effect on the left S1 nerve. There is mild central canal stenosis, moderate right neural foraminal narrowing and severe left neural foraminal narrowing.

2. Large diffuse disc bulge at L4-L5 with resultant mild central canal stenosis, moderate left neural foraminal narrowing and mild-to-moderate right neural foraminal narrowing.

What are our options? He's been having a lot of pain lately and sometimes it has shut him down completely due to how severe the pain can get. We want to avoid surgery at all costs, so please let us know what to do.

********************************************

No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.

  • 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

********************************************************************
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 :


Personal Opinion, not medical advice :


---------------------------------------------------------------------------------------------------------
--- Liz,Spine-Health System Moderator



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Comments

  • It's been 6 months and $20,000 of physical therapy.....and no relief in sight.
    Of course, I tried to become normal again and start running once more about a month ago....but that caused me to go right back to square one. The PT blamed me for this set-back, and said my back was "unstable". But what they didn't tell me: IT WILL REMAIN THAT WAY TILL I DIE.

    I am going on my third epidural in 2 weeks.
    After that, I am definitely getting surgery.....likely Microdiscectomy and either an X-Stop or some other plate to fuse the one side of my L4-L5.
    Mine, like your father, is a unilateral subluxation. I can only stand on one leg.

    You can have your father do what I did....and waste a ton of time and money, or just be smart and get the surgery.
  • dilaurodilauro ConnecticutPosts: 10,065
    edited 12/23/2015 - 4:26 AM
    may compromise it, does not mean it will not be stable ever.

    There are so many different exercises that can be done to strengthen the spine even after the most complex spinal surgeries.

    What that is and how it is done, needs to be discussed with medical professionals.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • dilauro said:
    may compromise it, does not mean it will not be stable ever.
    There are so many different exercises that can be done to strengthen the spine even after the most complex spinal surgeries.
    What that is and how it is done, needs to be discussed with medical professionals.
    But for someone super active and super healthy like me, it's unlikely to improve without the surgery.
    A lot of times, medical pros won't ask the right questions....you've GOT TO TELL THEM.
    Even then, many don't listen properly....they've got this "you can't tell me" attitude.

    I am extremely optimistic the exercises POST SURGERY will help enormously and accelerate the healing process.
    To spend the $$$ on repairs on an engine that is obviously "shot"....is fruitless.
    5 months was plenty of time for repair for this active and strong guy....and it didn't happen.

    As we speak, thanks to this fine website and it's great content, I am writing up my own diagnosis and history and sending it off to both my epidural doctor and spinal surgeon.
    Amazingly, at this point in time, after 6 months, neither has asked me many questions at all about my history or how I got to this point with my stenosis and herniation.
    I've written it up a summary before, but they did not have the time to read it.
  • dilaurodilauro ConnecticutPosts: 10,065
    edited 12/23/2015 - 10:56 AM
    Do you have any more information you can provide us for your thread?

    As was stated from the beginning, there are no medical professionals on the forum side of this site, so we can provide medical advice.

    But once we know more about the situation, members should be able to provide you with opinions based on personal situations.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
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