Hello everyone. Here is a little background on me. I'm 37 years old and in 2005 I fell 18 feet head first and suffered compression burst fractures of C4, T5, and T6. In 2007 I had thoracic fusion surgery from T3 to T9. That cleared up the kyphosis in the thoracic region, but I am still in pain. I just had MRI's done with dye and here are the results:
Cervical spine: Mild diffuse decreased marrow signal is seen. Modic Type II endplate signal changes are seen at C6-C7 and C7-T1. Vertebral heights are maintained. Marked narrowing of C6-C7 and C7-T1 disc spaces is seen.
C3-C4: Marked right neural foraminal narrowing due to unconvertabral spurring. No significant spinal canal stenosis or left neural foraminal narrowing.
C4-C5: Moderate left neural foraminal narrowing due to unconvertabral spurring. Mild posterior disc osteophyte complex causing mild spinal canal stenosis.
C5-C6: Mild bilateral neural foraminal narrowing due to unconvertabral spurring. Mild posterior disc osteophyte complex causing mild spinal canal stenosis.
C6-C7: Mild posterior osteophyte complex without causing significant spinal canal stenosis. No significant neural foraminal narrowing.
Thoracic spine: Spinal rods and screws are seen from T3 to T8. Significant metallic artifact is seen at this area precluding detailed evaluation. Added artifact is also noted at T5-T6 due to interbody fusion hardware. Visualized vertebral heights are maintained. Normal alignment is seen. Visualized spinal cord appears normal in significant intensity. No significant spinal canal stenosis. No spinal cord compression. No significant epidural scarring causing compression on spinal cord. No disc herniation is seen in visualized portion. **Doc did a great job here**
There is diffusely decreased marrow signal of the included lumbar spine and sacrum. This may be due to red marrow conversion. Vertebral heights maintained. Small focal areas of increased T1 and T2 signal are seen in S1 vertebral body consistent with areas of focal fatty marrow or hemangiomas. Cornus medullaris is unremarkable. Included abdominal aorta is normal in caliber.
No spinal canal stenosis or neural foraminal narrowing is seen. Mild L2-L3, L3-L4, L4-L5, and L5-S1 disc bulges. Mild L5-S1 facet degenerative changes bilaterally. No disc herniation.
My new doctor stated that my lumbar spine problems is simply just arthritis. What is all that talk about diffusely decreased marrow signal and red marrow conversion? I'm not a doctor, but this doesn't sound good to me. I feel like my body is literally falling apart and it seems like there is no hope for pain relief. The doctor is only prescribing me nsaids (trying everyone out first it seems) and is talking of doing epidural injections. I've had trigger point injections before and only got a couple days relief from them which eventually led to my surgery. The doctor also stated that he prefers not to do surgery, but would not rule it out. This is my 3rd time through this and it is just frustrating (first being the time of the accident, then the new doctors at the cleveland clinic for the surgery, and now the doctors at the VA). If anyone has any insight or information to pass my way, I would greatly appreciate it.