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

What Type of MRI Should I Get?

KaufholdTexasKKaufholdTexas Posts: 1
edited 01/31/2016 - 8:44 PM in Chronic Pain
Hello, im a 22 year old male that has been suffering with chronic buttock pain for over 8 months now. I've done everything from a myelogram to emg/ncv to get a diagnosis and have ruled out disc problems since there is NO NERVE IMPINGEMENT of my spinal cord. So now I want to get a image of my piriformis muscle to see if (i hope not) if there is a tumor or sometime of disease causing it to be inflamed and entrap my sciatic nerve. So my question to you all, what type of MRI should i request to get a clear picture of my piriformis.

Thank you for taking your time to read and help me, God bless.


Welcome to Spine-Health

One of the most important things that need 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
    . How long have you been using this?
    . Results
- 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

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

  • - Help you better utilize the Spine-Health system
    - Provide pointers on how to make your threads / posts
    - Tips on how to create your avatar (your picture), posting images, etc
    - General pieces of valuable information

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 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 :

Liz, Spine-health Moderator



  • SongJinSSongJin Arizona Posts: 259
    I have no idea what would actually be the appropriate test for you, but I did learn that there are different kinds of MRIs, and more importantly perhaps, different calibers of radiologists and specialists that read the resulting images. I just wrote another post about all the conflicting interpretations I got of the same images, and the resulting differences I had when I was referred to a better facility that uses stronger MRIs. One of my neurosurgeons actually requested that I use a specific facility because of this, and it was certainly useful. I believe they wanted to be sure that I had a "3T" MRI, which uses a stronger magnet (also, as I understand it, the smaller the bore of the MRI, the stronger the magnet, so open MRIs tend to have poorer resolution).

    So it seems like the best way to go would be to find a specialist that knows what they're looking for, what facilities are in the area, and which tend to have the better results. Since a radiologist isn't necessarily looking for the same thing as a surgeon, I think having the specialist you're talking to actually being LOOK at the MRI directly, and not just the report also makes a difference. Here's the link to my other post where I detailed out some of the pretty big differences in interpretations I got off my MRIs, if you were interested:

  • I have very similar symptoms to you, and the last year and a half has been a diagnostic nightmare. Piriformis syndrome is often very hard to see on an MRI. I've had 2 spine MRI's and 2 hip/piriformis MRI's, including a 3T and an arthrogram (MRI with contrast in the hip joint). I have also had 2 EMGs. My understanding is that a dynamic EMG is one of the only ways to diagnose piriformis syndrome. I
    guess that they have the person get into positions that contract the piriformis and see if it changes the nerve signal. Unfortunately I can't find anyone who does these. The other diagnostic tool I've looked into is MR Neurography, which sounds like an MRI that can show where nerve irritation is. I have an appointment at UCLA next week because I know they hand that technology. I don't know whether the doctor will recommend it, but I'm hoping it's a consideration. I hand heard though that insurance doesn't always cover it and it is expensive :( Other things I would look into for buttock pain include ischial bursitis and SI joint dysfunction. I wish you the best of luck!
    1 1/2 years chronic pain in butt, hip, and sometimes low back. 7 steroid injections (piriformis, s1, si joint, hip joint). Hip labral repair arthroscopic surgery 12/2015. Sciatic neurolysis 12/2015.
Sign In or Register to comment.