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Need help in understanding my MRI repor

dmathewsonddmathewson Posts: 1
edited 12/26/2015 - 8:31 PM in Lower Back Pain
Hello, I need help in trying to understand why my lumbar pain has progressed and has also stopped me spinning and working out. sitting at my desk and turning to take a piece of paper from my tray results in a clicking from my lower back and a sharp shooting pain. I am in so much pain today after doing Xmas dinner yesterday and the pain is all down my left leg from mid lumbar to the inside of my hip down inside my leg to my knee and pins and needles plus a numbing feeling. looking at the report it doesnt appear to show anything bad enough to cause this high scale pain?? Copy below - please help?

MR LUMBAR SPINE WITHOUT CONTRAST HISTORY: Low back pain and bilateral lower extremity radiculopathy. TECHNIQUE: Multiplanar and multisequence MR imaging of the lumbar spine was performed without intravenous contrast using standard MR protocol. COMPARISON: 8/2/2014. FINDINGS: Assuming normal segmentation, there are 5 lumbar type vertebra with S1 completely incorporated in the sacrum. There is mild dextrocurvature of the lumbar spine. Minimal anterolisthesis of L4 on L5 of approximately 2 mm consistent with chronic degenerative listhesis is progressed from prior study. Otherwise, lumbar spinal alignment is normal. Lumbar vertebral body heights are intact and normal. Minimal marrow edema surrounds the left L4-L5 facet joint. Otherwise, marrow signal intensity is within normal limits. Conus medullaris terminates normally at L 1. Signal intensity in the distal cord and conus medullaris is normal. The cauda equina is normal. T11-T12: Degenerative disc disease without spinal canal stenosis. T12-L1: Normal. L1-L2: Normal. L2-L3: Normal. L3-L4: Mild facet hypertrophy without spinal canal or neural foraminal stenosis. L4-L5: Mild anterolisthesis of L4 on L5, facet hypertrophy (moderate on the left with minimal marrow edema), and mild ligamentum flavum redundancy results in mild bilateral neural foraminal stenosis. No significant central spinal canal stenosis. L5-S1: Mild facet hypertrophy without significant spinal canal or neural foraminal stenosis. IMPRESSION: Slightly progressive, mild lower lumbar spondylosis resulting in mild neural foraminal stenosis at L4-L5. No significant central spinal canal stenosis, see above for level by level details.

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



  • LizLiz Posts: 7,832
    edited 12/26/2015 - 8:30 PM
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    Liz -Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
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